Fluid resuscitation with crystalloid and colloid solutions is a common treatment in perioperative medicine. However, a variety of unbalanced or balanced solutions is used in clinical practice and there is still a vivid debate going on regarding the selection of optimal fluid with minimal negative effect on coagulation. The goal of the dissertation was to investigate the adverse effect of balanced crystalloids and colloids on whole blood coagulation measured by method of rotational thromboelastometry. In the first phase of the work we had assessed the adverse effect of balanced crystalloid, hydroxyethyl starch and gelatin after dilution of blood with the solution in vitro. Parametrs of EXTEM and FIBTEM tests were evaluated by using rotational thromboelastometry. In the second phase of the work we evaluated the negative effect of infusion solution after dilution in vivo. We had obtained blood samples from 30 patients during knee arthroscopy before and after administration of 500 ml of crystalloid or hydroxyethyl starch or gelatin. Parametrs of EXTEM and FIBTEM tests were evaluated by using rotational thromboelastometry.In compliance with the results of the dissertation, hydroxyethyl starch has the most obvious negative effect on clot formation followed by gelatin and finally by crystalloids. Based on...

This study deals with the association of trace elements with colloids and particles in surface waters and groundwaters of mining and smelting district of Příbram. Colloids were studied using combination of cascade filtration a tangential flow ultrafiltration method to separate individual colloid fractions. Colloids were separated by filtration membranes with nominal pore size 0,8 μm, 0,45 μm, 0,1 μm, 100 kDa, and 5 kDa. Water samples were analyzed using ICP-OES, ICP-MS and HPLC. The data were used for thermodynamic modeling using PHREEQC-2 programme. The results show that major and trace elements can be divided into several groups, based on their abundance in individual size fractions. Most elements dominate in fraction of truly dissolved matter as dissociated ions (< 5 kDa), maximum concentration in colloid fraction is 5-20 % and almost exclusively in fraction 5 kDa - 100 kDa. Gradual decrease of concentration in all fractions at low ionic strength (1,2 mmol/l) was observed in case of elements such as As, Co, Cr, Si, Sb and U. Gradual decrease of concentration in several samples was observed for Cd, Fe, Pb, Mn and Zn. Dominant binding to colloids and particles in surface waters was observed for Fe and Pb, where these fractions accounted for over 90 %. The main factor influencing colloid...