Department of Anaesthesiology, Resuscitation and Intensive Care Medicine, 2nd Medical Faculty, Charles University and University Hospital Motol

Basic information

The history and present of the university department

The Anesthesiology and Resuscitation Clinic was founded on February 15, 1973 as the clinical base of the ILF department of the same name. Its head was appointed prof. MD Jiří Pokorný, CSc. The rapidly developing field was soon included in the teaching at the Faculty of Pediatrics (FDL). Since 1979, the clinic has regularly participated in teaching, and since September 1988, the clinic has become one of their clinical workplaces. At this time, the field of pediatric anesthesia and pediatric resuscitation care is developing. This period is inextricably linked with the personality of MUDr. Vladimir Kyncl.
In 1990, he replaced Prof. MD Jiří Pokorný, CSc. doc. MD Jan Pachl, CSc., who led the KAR until 1996. In this year, the "blue pavilion" for adult patients was opened, and due to the increasing requirements for anesthesia care, the clinic was expanded to include a 12-bed resuscitation department for adults. This year, the new head of the dynamically developing clinic is prof. MD Karel Cvachovec, CSc., MBA, who leads the clinic until 2014. During these 18 years, the workplace becomes the largest clinic in the republic, its fame and reputation rise not only at home, but also abroad. In close cooperation with other disciplines, its doctors provide care in many prestigious medical care projects for adult and pediatric patients. In the years 1990 - 2010, the head of the clinic was doc. MD Jan Špunda, CSc.. In 2002, the second resuscitation department for adults was opened, in 2010 OCHRIP became a part of KARIM, founded and led by doc. MD Jarmila Drábková, CSc., undoubtedly an icon of Czechoslovak intensive medicine. In the course of 2011, the operations of pediatric anesthesia and resuscitation care are moving to the newly renovated premises of the pediatric monoblock.
In 2014, doc. MD Tomáš Vymazal, Ph.D., MHA. Currently, almost 2 doctors and almost 150 specialist nurses work at the clinic. Every day, the clinic's doctors administer anesthesia in more than 300 operating rooms and care for the critically ill in 60 beds for adults and 22 beds for pediatric patients. They administer nearly 14 anesthesias annually, and nearly 40 critically ill patients pass through their hands. KARIM also includes 1800 intensive care beds.
With their expertise, the doctors of KARIM 2. LF UK and FN Motol cover a wide range of procedures in all age categories and the entire breadth of care in the field. They have state-of-the-art medical equipment and medical technology, including a 24/7 adult and pediatric ECMO team. The clinic provides undergraduate education for medics of the 2nd Faculty of Medicine of the UK and postgraduate education in the field of A+R+IM. The workplace is run by the Simulation Center, which is one of the best in the country. It organizes a number of specialized extension courses. It is an accredited workplace. As the largest university workplace in the country, it has a broad base for science and research with a large number of publications at home and abroad.

doc. MD Tomáš VYMAZAL Ph.D., MHAHead:
Associate Professor Tomas Vymazal, MD, Ph.D., MHA

 

 

 

 

Secretariat:
224 435 401, 224 435 402
fax: +224 435 420 XNUMX
vladimira.simunkova@fnmotol.cz
zuzana.bendova@fnmotol.cz

Management and staff

The head

doc. MD Tomáš Vymazal, Ph.D., MHA
tel.  224 435 400
Email: tomas.vymazal@fnmotol.cz

Medical Deputy Chief for Adult

primary MUDr. Radka Klozová
tel. 224 435 403
Email: radka.klozova@fnmotol.cz

Medical deputy head for the children's section

primary MUDr. Jana Pavlíčková
tel. 224 435 424
Email:  jana.pavlickova@fnmotol.cz

Head of School

MD Jan Bureš
tel. 224 435 404
mobile phone: +774 332 632
Email: jan.bures@fnmotol.cz

Head nurse for the adult part

Mgr. Tatana Manasova
tel. 224 435 405
Email: tatana.manasova@fnmotol.cz

Head nurse for the children's part

Ing. Bc. Lenka Malíková, MBA
tel. 224 435 443
Email: lenka.malikova@fnmotol.cz

Clinic secretariat

Vladimíra Šimůnková, Zuzana Bendová, Irena Koudelková
Email:  vladimira.simunkova@fnmotol.cz
Email:  zuzana.bendova@fnmotol.cz
Email: irena.koudelkova@fnmotol.cz

tel. 224 435 401, 224 435 402
fax. 224 435 420

Resuscitation department for adults

chief physician MUDr. Jan Berousek 
tel.
 224 435 410
Email:  jan.berousek@fnmotol.cz

Resuscitation department for children

chief physician MUDr. Petr Pavlíček
tel. 224
Email: petr.pavlicek@fnmotol.cz

Cardioanaesthesia

leading physician MUDr. František Mošna
tel. +224 435 252
Email: frantisek.mosna@fnmotol.cz

ECLS (Extra Corporeal Life Support) center

chief physician MUDr. Jaromír Vajter
tel.
 +720 932 317
Email: eclscentrum@fnmotol.cz

Simulation lab

leading physician: MUDr. Jan Bureš
guarantor: doc. MD Tomáš Vymazal, Ph.D., MHA

Primary for NIP and DIOP

primary MUDr. Kateřina Čadová
tel.
 224
Email: katerina.cadova@fnmotol.cz

Senior nurse for NIP and DIOP

M.Sc. Sonia Hajková
tel.
 224
Email: sona.hajkova@fnmotol.cz

Station nurses

adult anesthesia:  Dagmar Hlaváčková

pediatric anesthesia: Bc. Alena Hyršlová

resuscitation department for adults: PhDr. Jana Hocková, Ph.D.

resuscitation department for children: M.Sc. Petr Šťastny

Cardioanaesthesia: M.Sc. Petr Šťastny

adult trainer: Bc. Vera Nigrovičová

Chief physicians of individual sections of anesthesia

MUDr. Vladimir Bicek
MD Věra Biskupová
MD Jana Blažková
MUDr. Sergei Bykadorov
MD Tomáš Brož
MUDr. I like Kukla
MD Daniel Tanuska
MD Martina Vrabcová
MD Petr Přikryl
MD Jana Seifertová
MD Ivana Scholzová
MD Martin Trávníček
MUDr. Luboš Bee
MD Walter Zenkner
MD Martin Malošek
MD Selenge Koupová
MD Miroslav Tesar

Ambulance

Anesthesiology clinic for children
is operated from Monday to Friday from 9:00 a.m. to 15:30 p.m. It is located in the children's section of the FNM on the ground floor of pavilion E, opposite the FNM refreshments.
tel. +224 435 461
Email: ambuanestezie@fnmotol.cz

Anesthesiology clinic for patients of the Orthopedic Clinic of the 2nd Faculty of Medicine, UK
it is open every Friday from 9:00 a.m. It is located in the adult part of the FNM, node A, -1, section of the outpatient department of the Orthopedic Clinic.

Specialization

KARIM 2.LF UK in FN in Motol provides anesthesiology and medical care in the whole spectrum of procedures and diagnoses in adult and pediatric intensive care, including the most serious conditions. Our doctors specialize in providing highly qualified care to patients of all weight and age categories. In terms of the volume of care provided, we are the largest clinic of Anesthesiology and Intensive Care in the country. We work in more than 50 wards every day, our doctors give almost 40 anesthesia a year, and a total of more than 1600 patients are hospitalized on our beds every year.   

The uniqueness in the field is that we provide anesthesiology care for children and adults at the Cardiocentre and that our doctors operate in the postoperative department of the Cardiocentre for adults. Intensive cooperation on a nationwide lung transplant program for adult patients is also unique.

The equipment of our workplaces is at the highest level, including ECMO technology.

We are an accredited workplace. In close cooperation with the 2nd Faculty of Medicine, Charles University, we organize and organize specialized courses in undergraduate and postgraduate teaching, including doctoral studies and in selected areas of specialized care for children and adult patients.

Equipment of the device

The AIM Clinic of the 2nd Medical Faculty of Charles University in the University Hospital in Motol is equipped to provide specialized anesthesiology care for children and adult patients. The latest technologies such as BIS, NIRS, sonography, perioperative ECHO, IABK and ECMO are a matter of course. Children's operating rooms are equipped with regard to the specifics of the lowest age and weight categories of patients. Monitoring technology in operating theaters enables the necessary continuous monitoring of the operated and sick, as well as the necessary measurements of physiological parameters. Dosing and heating of drugs and fluids is also provided by the device. We have modern ventilation devices and monitoring technology at our disposal in intensive care beds, which meets current European standards. We use modern CRRT technology, circulatory support and support of failing organs, including POCT monitoring of TEG and RoTEM hemocoagulation. We were the first in the country to introduce electronic (paperless) medical documentation.

Inpatient department

KARIM 2nd Faculty of Medicine, Charles University in Motol has a total of 22 beds for adult patients, 14 beds for pediatric patients and 30 beds for long-term intensive care. In total, more than 1600 patients with the most serious diagnoses of children and adults are hospitalized on these beds.

Resuscitation department for adults

chief physician MUDr. Jan Berousek
tel. +224 435 410
Email: jan.berousek@fnmotol.cz

Resuscitation department for children

chief physician MUDr. Petr Pavlíček
tel. 224 435 456, 88
Email: petr.pavlicek@fnmotol.cz

NIP and DIOP department

primary MUDr. Kateřina Čadová
tel. +224 436 757
Email: katerina.cadova@fnmotol.cz

ECLS (Extra Corporeal Life Support) center

ECMO consultation line FN Motol: +420 720 932 317
e-mail: eclscentrum@fnmotol.cz

  • Line is not intended for the public
  • The line serves only for experts, who want to refer a patient to an ECMO center, or want to consult on possible other treatment options

The ECLS center was established in 2023 as part of the Department of Anaesthesiology, Resuscitation and Intensive Medicine of the 2nd Faculty of Medicine of the UK and the Motol General Hospital in cooperation with the Department of Cardiology of the 2nd Faculty of Medicine of the UK and the Motol General Hospital, the Department of Cardiovascular Surgery of the 2nd Faculty of Medicine of the UK and the Motol General Hospital, III. the surgical clinic of the 1st Faculty of Medicine of the UK and the Motol General Hospital, the Children's Cardiac Center of the 2nd Faculty of Medicine of the UK and the Motol General Hospital and the Adult Emergency Department of the Motol General Hospital. It is based on many years of experience with ECMO support in respiratory failure, cardiopulmonary resuscitation or the National Lung Transplantation Program for the Czech Republic and Slovakia. At Motol General Hospital, ECMO is used on average in about 100 adult patients per year. Increasingly, this method is also applied to children.

What is ECLS?

ECLS (Extracorporeal Life Support) is the use of temporary (days to months) mechanical support of the basic vital functions of the heart or lungs. For support, we usually use an ECMO (Extracorporeal Membrane Oxygenation) device, as well as devices for removing carbon dioxide from the blood (for example, ECCO2R – Extracorporeal CO2 Removal) and others.

What is ECMO?

ECMO is a form of extracorporeal support of basic life functions such as heart activity or breathing. ECMO maintains blood circulation in the human body and the balance between blood gases (oxygen and carbon dioxide). ECMO itself does not cure, but temporarily performs the work of the heart and/or lungs. It allows them to "rest". It is a machine located outside the human body, which, through a system of tubes, ensures blood circulation, supplies the body with oxygen and removes carbon dioxide.

What is ECPR?

ECPR (Extracorporeal Cardiopulmonary Resusciation) can be described as the connection of a patient to ECMO as part of ongoing cardiopulmonary resuscitation, when it is not possible to restore the function of the heart with drugs or indirect heart massage. As a rule, this method is used in cases where the initial rhythm is ventricular fibrillation or ventricular tachycardia. Connection to ECMO in case of intoxication or severe hypothermia is not an exception.

Who benefits from ECMO?

Patients can be connected to ECMO acutely after careful consideration of all risks. These can be patients with lung failure due to infection (e.g. COVID 19, Pneumococcal...), as well as patients with impaired heart function (e.g. as part of cardiopulmonary resuscitation). A specific feature of FN Motol is the use of ECMO support within the National Lung Transplantation Program for the Czech Republic and Slovakia, where this method is a completely routine matter.

How does ECMO work?

ECMO is a device placed outside the human body. It is necessary to bring the patient's blood into this device and return it back to the body, which is ensured by introducing special cannulas into the large vessels in the body. The best access to these vessels is in the neck and groin area.

  • veno-venous ECMO (VV ECMO): is a variant that replaces lung function. It supplies oxygen to the blood through a special membrane and removes carbon dioxide. It does not replace the function of the heart.
  • veno-arterial ECMO (VA ECMO): is a variant that replaces the function of the heart or the heart together with the lungs together.

Patients on ECMO support can be in artificial sleep or even completely conscious. It depends a lot on the reason for which ECMO was introduced and how a particular person is able to tolerate the condition.

Where are ECMO patients cared for?

Patients on ECMO are primarily cared for by the staff of the Department of Anesthesiology, Resuscitation and Intensive Medicine 2nd LF UK and FN Motol in cooperation with the Department of Cardiology 2nd LF UK and FN Motol, the Department of Cardiovascular Surgery 2nd LF UK and FN Motol, III. the surgical clinic of the 1st Faculty of Medicine of the UK and the Motol General Hospital, the Children's Cardiac Center of the 2nd Faculty of Medicine of the UK and the Motol General Hospital and the Adult Emergency Department of the Motol General Hospital. The ECMO issue has a long history at FN Motol, but it has only been operating as an official institution registered in the ELSO organization since 2023. An integral part of this program is perioperative ECMO support, which is ongoing as part of the National Lung Transplantation Program for the Czech Republic and Slovakia.

How long can a patient be connected to ECMO?

It very much depends on the severity and type of heart and lung involvement. ECMO support can last from hours to weeks or months.

Are there any risks of ECMO support?

ECMO has a number of risks. Before connecting, doctors always consider what benefit ECMO will bring and whether the risk is greater than the expected benefit. The most common complications of ECMO support include bleeding or, on the contrary, the formation of clots, strokes, lack of blood in the extremities, and kidney failure.

When is ECMO no longer needed?

If lung and heart functions improve to such an extent that ECMO support is already minimal, the patient is disconnected from ECMO support. However, for example, artificial pulmonary ventilation or heart support with drugs can continue.

Is ECMO support always successful?

It is important to realize that ECMO only buys time for further decisions and treatment. Patients connected to ECMO support are always in critical condition and the risk of death is extremely high. It happens that the body's reserves are already so exhausted before being connected to ECMO that even all the support and treatment deployed will not bring the patient to recovery. It is necessary to accept the fact that patients die in such a critical state.

Who is part of the ECMO team?

Care of a patient on ECMO is multidisciplinary. A number of doctors, perfusiologists and nurses from across the hospital are involved in it. But everyone works as a team.

Head doctor of the ECLS center and ECMO team:

MD Jaromir Vajter

Science and research

 KARIM 2.LF UK is an accredited workplace. In close cooperation with the 2nd Faculty of Medicine, Charles University, organizes and organizes specialized courses in undergraduate and postgraduate teaching, including doctoral studies and in selected areas of specialized care for children and adult patients. He actively participates in the teaching of medics and students of master's degree programs of the 2nd Faculty of Medicine, Charles University. We cooperate with the 1st Faculty of Medicine, Charles University and the Faculty of Biomedical Engineering of the Czech Technical University.

Physicians and nurses of the clinic regularly actively participate in scientific events and congresses in the country and abroad and publish in peer-reviewed journals and journals with IF. 

Contact

Management and background of KARIM 2nd Faculty of Medicine, Charles University is located in the adult part of FNM, ground floor, node B (blue elevators), telephone +224 435 400 .

Inpatient department for adults is located on the ground floor of Node C (orange elevators), telephone +224 435 440 .

Inpatient wards for children You will find a telephone in the children's section of the National Pension Fund next to the Emergency Reception +224 435 488  and on the 7th floor tract A, telephone +224 435 456 .

NIP and DIOP are detached outside the main building and are located in building No. 22 above the building of the Pulmonary Clinic, telephone +224 436 757 .

ECLS (Extra Corporeal Life Support) center
Email: eclscentrum@fnmotol.cz

Map of the area and location of building no. 22

FN Motol is also supported by private organizations

Motol University Hospital has been cooperating with the company since 2020 NaturaMed, having its roots in Norway. The co-operation was started by the Covid-19 pandemic. At a critical time, when medical personnel, including doctors on the front line, were most vulnerable, just us NaturaMed donated several hundred kilograms of vitamin D, C and omega 3 in the product Omega Marine Premium. A similar situation repeats itself every year, when we have already received a total of over two tons of food supplements supporting the immune system of all frontline workers.

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