. . "4"^^ . "CZ - \u010Cesk\u00E1 republika" . "1210-7859" . . . "Peropera\u010Dn\u00ED elektromyografie sv\u011Bra\u010Dov\u00E9ho komplexu anorekta d\u011Bt\u00ED s anorekt\u00E1ln\u00EDmi malformacemi"@cs . "\u0160k\u00E1ba, Richard" . . . "Orienta\u010Dn\u00ED peropera\u010Dn\u00ED elektromyostimulace sv\u011Bra\u010Dov\u00E9ho komplexu (SC) bipol\u00E1rn\u00EDm Pe\u00F1ov\u00FDm stimul\u00E1torem se pou\u017E\u00EDv\u00E1 p\u0159i rekonstrukci anorekta d\u011Bt\u00ED svrozenou anorekt\u00E1ln\u00ED malformac\u00ED (ARM). Peropera\u010Dn\u00ED elektromyografick\u00E1 diagnostika SC dosud nebyla vliteratu\u0159e publikov\u00E1na. C\u00EDlem studie bylo vypracovat metodu p\u0159esn\u00E9ho peropera\u010Dn\u00EDho m\u011B\u0159en\u00ED stimulac\u00ED vyvolan\u00FDch odpov\u011Bd\u00ED SC ud\u011Bt\u00ED sARM asjej\u00ED pomoc\u00ED ur\u010Dit nejvhodn\u011Bj\u0161\u00ED zp\u016Fsob celkov\u00E9 anestezie. Pou\u017Eili jsme elektromyografick\u00FD p\u0159\u00EDstroj Key Point v3.22 (Medtronic). Vopera\u010Dn\u00EDm poli jsme bipol\u00E1rn\u00ED elektrodou stimulovali tk\u00E1\u0148 SC. Odpov\u011Bdi jsme sn\u00EDmali tenkou koncentrickou jehlovou elektrodou DCN 25. Intenzita stimulace byla 14 mA, trv\u00E1n\u00ED stimulu 0,2 ms. Metodu jsme pou\u017Eili u 17 pacient\u016F vpr\u016Fb\u011Bhu operace anorekt\u00E1ln\u00ED malformace. Vy\u0161et\u0159en\u00ED jsme \u010Dasovali dle stadia anestezie: po zah\u00E1jen\u00ED anestezie ab\u011Bhem epidur\u00E1ln\u00EDho bloku nebo po pod\u00E1n\u00ED svalov\u00E9ho relaxans, oboj\u00ED valternuj\u00EDc\u00EDm po\u0159ad\u00ED. Dosa\u017Een\u00E9 v\u00FDsledky jsme srovnali sojedin\u011Bl\u00FDmi liter\u00E1rn\u00EDmi \u00FAdaji apotvrdili jejich validitu. Vyhodnocen\u00EDm v\u00FDsledk\u016F jsme popsanou metodu ozna\u010Dili jako dostate\u010Dn\u011B p\u0159esnou. Nedepolarizuj\u00EDc\u00ED svalov\u00E1 relaxace v\u00FDznamn\u011B m\u011Bnila odpov\u011Bdi vyvolan\u00E9 stimulac\u00ED. Proto jsme jako optim\u00E1ln\u00ED zp\u016Fsob anestezie ur\u010Dili kombinovanou anestezii spou\u017Eit\u00EDm inhala\u010Dn\u00EDho anestetika, opi\u00E1tu aepidur\u00E1ln\u00ED blok\u00E1dy, av\u0161ak svylou\u010Den\u00EDm nedepolarizuj\u00EDc\u00ED svalov\u00E9 relaxace." . . . "158277" . "RIV/00064203:_____/12:8241!RIV13-MZ0-00064203" . . . "perioperative electromyostimulation; anorectal malformation; anorectal sphincter complex; caudal epidural anesthesia; electrical-stimulation; management; disorders; responses"@en . "Orienta\u010Dn\u00ED peropera\u010Dn\u00ED elektromyostimulace sv\u011Bra\u010Dov\u00E9ho komplexu (SC) bipol\u00E1rn\u00EDm Pe\u00F1ov\u00FDm stimul\u00E1torem se pou\u017E\u00EDv\u00E1 p\u0159i rekonstrukci anorekta d\u011Bt\u00ED svrozenou anorekt\u00E1ln\u00ED malformac\u00ED (ARM). Peropera\u010Dn\u00ED elektromyografick\u00E1 diagnostika SC dosud nebyla vliteratu\u0159e publikov\u00E1na. C\u00EDlem studie bylo vypracovat metodu p\u0159esn\u00E9ho peropera\u010Dn\u00EDho m\u011B\u0159en\u00ED stimulac\u00ED vyvolan\u00FDch odpov\u011Bd\u00ED SC ud\u011Bt\u00ED sARM asjej\u00ED pomoc\u00ED ur\u010Dit nejvhodn\u011Bj\u0161\u00ED zp\u016Fsob celkov\u00E9 anestezie. Pou\u017Eili jsme elektromyografick\u00FD p\u0159\u00EDstroj Key Point v3.22 (Medtronic). Vopera\u010Dn\u00EDm poli jsme bipol\u00E1rn\u00ED elektrodou stimulovali tk\u00E1\u0148 SC. Odpov\u011Bdi jsme sn\u00EDmali tenkou koncentrickou jehlovou elektrodou DCN 25. Intenzita stimulace byla 14 mA, trv\u00E1n\u00ED stimulu 0,2 ms. Metodu jsme pou\u017Eili u 17 pacient\u016F vpr\u016Fb\u011Bhu operace anorekt\u00E1ln\u00ED malformace. Vy\u0161et\u0159en\u00ED jsme \u010Dasovali dle stadia anestezie: po zah\u00E1jen\u00ED anestezie ab\u011Bhem epidur\u00E1ln\u00EDho bloku nebo po pod\u00E1n\u00ED svalov\u00E9ho relaxans, oboj\u00ED valternuj\u00EDc\u00EDm po\u0159ad\u00ED. Dosa\u017Een\u00E9 v\u00FDsledky jsme srovnali sojedin\u011Bl\u00FDmi liter\u00E1rn\u00EDmi \u00FAdaji apotvrdili jejich validitu. Vyhodnocen\u00EDm v\u00FDsledk\u016F jsme popsanou metodu ozna\u010Dili jako dostate\u010Dn\u011B p\u0159esnou. Nedepolarizuj\u00EDc\u00ED svalov\u00E1 relaxace v\u00FDznamn\u011B m\u011Bnila odpov\u011Bdi vyvolan\u00E9 stimulac\u00ED. Proto jsme jako optim\u00E1ln\u00ED zp\u016Fsob anestezie ur\u010Dili kombinovanou anestezii spou\u017Eit\u00EDm inhala\u010Dn\u00EDho anestetika, opi\u00E1tu aepidur\u00E1ln\u00ED blok\u00E1dy, av\u0161ak svylou\u010Den\u00EDm nedepolarizuj\u00EDc\u00ED svalov\u00E9 relaxace."@cs . . "Kraus, Josef" . . . . "Cvachovec, Karel" . "[9CE89A032753]" . "Intraoperative Monitoring of Anorectal Sphincter Complex during a Surgery in Children with Anorectal Malformations"@en . . . "Peropera\u010Dn\u00ED elektromyografie sv\u011Bra\u010Dov\u00E9ho komplexu anorekta d\u011Bt\u00ED s anorekt\u00E1ln\u00EDmi malformacemi" . . . "Mixa, Vladim\u00EDr" . "RIV/00064203:_____/12:8241" . "Peropera\u010Dn\u00ED elektromyografie sv\u011Bra\u010Dov\u00E9ho komplexu anorekta d\u011Bt\u00ED s anorekt\u00E1ln\u00EDmi malformacemi"@cs . "Intraoperative Monitoring of Anorectal Sphincter Complex during a Surgery in Children with Anorectal Malformations"@en . "http://www.csnn.eu/ceska-slovenska-neurologie-clanek/peroperacni-elektromyografie-sveracoveho-komplexu-anorekta-deti-s-anorektalnimi-malformacemi-38439" . "Diagnostic perioperative electromyostimulation of the sphincter complex muscles with bipolar Pena stimulator is used for anorectal reconstruction in children with congenital anorectal malformations (ARM). The objective of this study was to develop an accurate technique for perioperative measurement of electromyographic parameters in children with ARM and, consequently, to determine the most suitable method of general anesthesia. A Key Point EMG v3.22 (Medtronic) was used. The tissue of the sphincter complex was stimulated with a bipolar electrode and a DCN 25 thin concentric needle electrode was used for recording. Intensity of the stimulation was 14 mA administered over 0.2 ms. The method was used in 17 patients repeatedly during a surgery for anorectal malformation. The examinations were performed at various stages of anesthesia: after induction and during epidural blockade or after administration of a muscle relaxant. The results were compared to scarce data in the literature and confirmed their validity. Through evaluation of the results, the described method was found to be sufficiently accurate. A combination of inhalation anesthesia, opioids and epidural block, with an exclusion of non-depolarizing muscle relaxants, was determined to be the most useful method of anesthesia."@en . . "4" . "\u010Cesk\u00E1 a slovensk\u00E1 neurologie a neurochirurgie" . . "I" . "4"^^ . . . "75" . "Peropera\u010Dn\u00ED elektromyografie sv\u011Bra\u010Dov\u00E9ho komplexu anorekta d\u011Bt\u00ED s anorekt\u00E1ln\u00EDmi malformacemi" . . "4"^^ . "000307435000012" .