Adam Čapek - Academia.edu (original) (raw)

Papers by Adam Čapek

British Journal of Surgery, Dec 7, 2022

Background: A 68 year old patient with squamous cell carcinoma (SCC) of lower oesophagus (T3N0M0)... more Background: A 68 year old patient with squamous cell carcinoma (SCC) of lower oesophagus (T3N0M0) presented for Ivor Lewis oesopphagectomy (ILO) following neoadjuvant chemoradiotherapy.

Anaesthesia, Feb 14, 2011

In aviation, the sterile cockpit rule prohibits non-essential activities during critical phases o... more In aviation, the sterile cockpit rule prohibits non-essential activities during critical phases of flight, takeoff and landing, phases analogous to induction of, and emergence from, anaesthesia. We studied distraction during 30 anaesthetic inductions, maintenances and emergences. Mean (SD) noise during emergence (58.3 (6.2) dB) was higher than during induction (46.4 (4.3) dB) and maintenance (52 (4.5) dB; p < 0.001). Sudden loud noises, greater than 70 dB, occurred more frequently at emergence (occurring 34 times) than at induction (occurring nine times) or maintenance (occurring 13 times). The median (IQR [range]) of staff entrances or exits were 0 (0-2 [0-7]), 6 (3-10 [1-18]) and 10 (5-12 [1-20]) for induction, maintenance and emergence, respectively (p < 0.001). Conversations unrelated to the procedure occurred in 28 ⁄ 30 (93%) emergences. These data demonstrate increased distraction during emergence compared with other phases of anaesthesia. Recognising and minimising distraction should improve patient safety. Applying aviation's sterile cockpit rule may be a useful addition to our clinical practice.

BJA Education, Jun 1, 2015

• Peripheral nerve blocks offer many potential advantages over opioid-based anaesthesia and analg... more • Peripheral nerve blocks offer many potential advantages over opioid-based anaesthesia and analgesia for upper limb surgery. • The peripheral nerves of the upper limb are superficial and identified by a linear, high-frequency ultrasound transducer. Ultrasound-guided peripheral nerve blocks of the upper limb Patient selection Successful regional anaesthesia for upper limb surgery is reliant on appropriate patient selection. PNBs are advantageous in patients undergoing extensive surgery and those prone to PONV, at risk of postoperative respiratory depression or intolerant of opioids. Primary patient exclusions are patient refusal, infection

International Journal of Obstetric Anesthesia, May 1, 2023

Anaesthesia, May 7, 2019

We congratulate Whittaker et al. for their work with the Global Capnography Project (GCAP) [1]. G... more We congratulate Whittaker et al. for their work with the Global Capnography Project (GCAP) [1]. Given the likely physical and personnel infrastructures involved, it is a

Anaesthesia & Intensive Care Medicine, 2018

Journal of Laparoendoscopic & Advanced Surgical Techniques, 2008

Aim: The aim of this study was to review the changes in CO 2 excretion and anesthetic management ... more Aim: The aim of this study was to review the changes in CO 2 excretion and anesthetic management during thoracoscopy in children. Methods: We analyzed end-tidal carbon dioxide concentration (EtCO 2 ; kPa) during CO 2 pneumothorax. EtCO 2 was measured on a continuous basis by using a positive sampling system and recorded every 10 minutes. Baseline and highest EtCO 2 were used to derive the maximum change in the intraoperative period. EtCO 2 was also analyzed in three time periods: (1) preinsufflation, (2) during insufflation of CO 2 into the chest, and (3) after desufflation. Core temperature was also recorded as an index of thermoregulation. Data are presented as the mean ؎ standard error of the mean. Differences within time periods were compared by using paired t tests or repeated measures analysis of variance. Correlation between changes in EtCO 2 and patient demographics was performed by using linear regression. The pattern of change was compared to children undergoing laparoscopy. Results: Median age was 1.9 years (range, 1 day to 15 years). EtCO 2 increased significantly from preinsufflation 5.1 ؎ 0.2 to 6.4 ؎ 0.3 during insufflation (P Ͻ 0.01); values were still significantly elevated after desufflation 6.4 ؎ 0.4 (P Ͻ 0.01). Single-lung ventilation was associated with higher EtCO 2 levels during insufflation than with two-lung ventilation (P ‫؍‬ 0.02). Maximum change in the EtCO 2 in the group undergoing one-lung ventilation negatively correlated to patient weight (r 2 ‫؍‬ 0.25, P ‫؍‬ 0.02); this correlation was not present with two-lung ventilation (r 2 ‫؍‬ 0.02, P ‫؍‬ 0.84). Laparoscopy increased EtCO 2 from 4.7 ؎ 0.2 preinsufflation to 5.3 ؎ 0.2 (P Ͻ 0.001) during and decreased to 4.8 ؎ 0.2 postdesufflation (P ‫؍‬ 0.60). There was a significant increase in core temperature from 35.9 ؎ 0.3 to 36.9 ؎ 0.2 postoperatively (P ‫؍‬ 0.007). Conclusions: There is a significant increase in EtCO 2 in children undergoing thoracoscopy, which is higher than during laparoscopy. Changes in EtCO 2 are larger in smaller children undergoing single-lung ventilation. Thoracoscopy may preserve intraoperative thermoregulation.

Anaesthesia & Intensive Care Medicine, Nov 1, 2021