. "Dne\u0161n\u00FD poh\u013Ead na rizik\u00E1 umelej p\u013E\u00FAcnej ventil\u00E1cie" . "Neiser, Jan" . "Dne\u0161n\u00ED pohled na rizika um\u011Bl\u00E9 plicn\u00ED ventilace"@cs . . "12" . . "RIV/00843989:_____/07:00014885!RIV09-MZ0-00843989" . . "53" . "417787" . "Dne\u0161n\u00FD poh\u013Ead na rizik\u00E1 umelej p\u013E\u00FAcnej ventil\u00E1cie" . "RIV/00843989:_____/07:00014885" . "6"^^ . . "Current view on the risks of artificial pulmonary ventilation"@en . . . . . "V" . "Sklienka, Peter" . . "Dne\u0161n\u00ED pohled na rizika um\u011Bl\u00E9 plicn\u00ED ventilace"@cs . "Ch\u00FDlek, V\u00E1clav" . . "Current view on the risks of artificial pulmonary ventilation"@en . "5"^^ . "There is not doubt that artificial ventilation of lungs seems to be proven as life-saving manoeuvre, whereas a growing amount of evidence is presented and published recently that artificial ventilation cause damage to patient by so far unexplained mechanism \u2013 by conversion of mechanical stress to biochemical signals inducing local and systemic inflammatory response, which is wide spreading and causing multiple organ dysfunction syndrome (MODS). Higher mortality of patients with acute lung injury on MODS rather than acute respiratory failure itself can be explained just by these findings. The article is brief summary of recent opinions of mechanism of ventilator induced lung and systemic injury. There is also evidence that the process of implementation of these finding into clinical practice is exceedingly slow."@en . "Vnit\u0159n\u00ED l\u00E9ka\u0159stv\u00ED" . . . "0042-773X" . "Dnes niet pochybnost\u00ED o tom, \u017Ee umel\u00E1 p\u013E\u00FAcna ventil\u00E1cia (UPV) je \u017Eivot zachra\u0148aj\u00FAcim lie\u010Debn\u00FDm postupom. Na druhej strane v s\u00FA\u010Dasnosti narast\u00E1 po\u010Det d\u00F4kazov o tom , \u017Ee UPV m\u00F4\u017Ee po\u0161kodi\u0165 pacienta doteraz nepoznan\u00FDm sp\u00F4sobom \u2013 konverziou mechanick\u00E9ho sign\u00E1lu na sign\u00E1l biochemick\u00FD, indukciou p\u013E\u00FAcnej z\u00E1palovej odpovede a jej n\u00E1slednou syst\u00E9movou propag\u00E1ciou a v\u00FDvojom multiorg\u00E1nov\u00E9ho zl\u00FDhavania (MODS). Pr\u00E1ve tieto poznatky umo\u017E\u0148uj\u00FA vysvetli\u0165, pre\u010Do pacienti s ak\u00FAtnym p\u013E\u00FAcnym po\u0161koden\u00EDm zomieraj\u00FA \u010Dastej\u0161ie za pr\u00EDznakov MODS a nie na ak\u00FAtne respira\u010Dn\u00E9 zlyhanie. \u010Cl\u00E1nok je stru\u010Dn\u00FDm preh\u013Eadom s\u00FA\u010Dasnych n\u00E1zorov na mechanizmy ventil\u00E1ciou indukovan\u00E9ho p\u013E\u00FAcneho a syst\u00E9mov\u00E9ho po\u0161kodenia. S\u00FA\u010Dasne sa kon\u0161tatuje, \u017Ee proces zav\u00E1dzania nov\u00FDch poznatkov do klinickej praxe je pr\u00EDli\u0161 pomal\u00FD." . . "artificial lung ventilation; ventilator induced lung injury; multiorgan dysfunction syndrome (MODS)"@en . . "5"^^ . "Szturz, Pavel" . . . "Kula, Roman" . "[24C96862D4B0]" . "Dnes nen\u00ED pochybnost\u00ED o tom, \u017Ee um\u011Bl\u00E1 plicn\u00ED ventilace (UPV) je \u017Eivot zachra\u0148uj\u00EDc\u00ED l\u00E9\u010Debn\u00FD postup. Na druh\u00E9 stran\u011B v sou\u010Dasnosti nar\u016Fst\u00E1 po\u010Det d\u016Fkaz\u016F o tom, \u017Ee UPV m\u016F\u017Ee po\u0161kodit pacienta dosud nepoznan\u00FDm zp\u016Fsobem \u2013 konverz\u00ED mechanick\u00E9ho sign\u00E1lu na sign\u00E1l biochemick\u00FD, indukc\u00ED plicn\u00ED z\u00E1n\u011Btlivou odpov\u011Bd\u00ED s jej\u00ED n\u00E1slednou syst\u00E9movou propagac\u00ED a v\u00FDvojem multiorg\u00E1nov\u00E9ho selh\u00E1n\u00ED (MODS). Pr\u00E1v\u011B tyto poznatky umo\u017E\u0148uj\u00ED vysv\u011Btlit, pro\u010D pacienti s akutn\u00EDm plicn\u00EDm po\u0161kozen\u00EDm um\u00EDraj\u00ED \u010Dast\u011Bji na p\u0159\u00EDznaky MODS a ne na akutn\u00ED respira\u010Dn\u00ED selh\u00E1n\u00ED. \u010Cl\u00E1nek je stru\u010Dn\u00FDm p\u0159ehledem sou\u010Dasn\u00FDch n\u00E1zor\u016F na mechanismy ventilac\u00ED indukovan\u00E9ho plicn\u00EDho a syst\u00E9mov\u00E9ho po\u0161kozen\u00ED. Sou\u010Dasn\u011B se konstatuje, \u017Ee proces zav\u00E1d\u011Bn\u00ED nov\u00FDch poznatk\u016F do klinick\u00E9 praxe je p\u0159\u00EDli\u0161 pomal\u00FD."@cs . "CZ - \u010Cesk\u00E1 republika" . .