[Oxidative stress: unsolved problem in the complex therapy in critically ill patients].

Background: Recent reports emphasize the important role of oxidative stress in the genesis of many syndromes and diseases. The ICU patients have prerequisites for activation of oxidative stress process: activation of the neutrophils, macrophages, and other cells which are capable of producing reactive oxygen species (ROS). The traditional opinion was that lipids are the primary target of the ROS but new data show also protein damage.

[Abdominal compartment syndrome].

Background: Abdominal compartment syndrome (ACS) manifests with increase of intra abdominal pressure (IAP) and organ dysfunction resulting in multiple organ failure. ACS presents with respiratory failure, hemodynamic changes, and impaired renal function. ACS is most often observed in critically ill patients with peritonitis, gastric dilatation, intestinal obstruction intra abdominal abscesses, abdominal trauma, and sepsis.

[Modern aspects of anesthesia for laparoscopic surgery: questions and answers].

Recently the endoscopic surgery enters widely in clinical practice. Laparoscopic surgery has gained rapid acceptance in the anaethesiological community, mainly due to its advantages to patients in postoperative period. Recognition of pathophysiological changes in hemodynamic, respiration associated with pneumoperitoneum helps to prevention of possibly fatal complication during surgery, general anaesthesia, and also during early postoperative period.

[Application of total intravenous anesthesia with propofol in laparoscopic cholecystectomy: specific properties of propofol as an antioxidant].

The authors reveal the formation of free radicals in biologic objects stressing upon the influence of Propofol (Diprivan; Zeneca; London, UK) as an intravenous agent during laparoscopic cholecystectomy (LCCE) lipid peroxidation. Some LCCE surgical details help this process resulting in free radical synthesis. The antioxidant effect of Propofol in vitro constitutes a peculiar interest.

[Bacterial translocation from the gastrointestinal tract: catalyst of multiple organ dysfunction syndrome].

The abnormal colonization of gastrointestinal tract (GIT), the loss of the intestinal barrier function, the bacterial translocation (BT) are signs of intestinal insufficiency which are supposed to be involved in the pathogenesis of MODS. This worsens the condition or leads to lethal outcome in patients after major abdominal surgery in ICU. The goal of this investigation was to consider the scientific and clinical evidence for the BT role in the pathogenesis of MODS and to present evidence about the advantages and the efficiency of antibiotic combination Amikacin plus Clindamycin as a new therapeutic strategy for the improvement of the outcome in patients with MODS and sepsis.