{"id":119188,"date":"2026-10-24T00:11:54","date_gmt":"2026-10-23T22:11:54","guid":{"rendered":"https:\/\/www.infokuryr.cz\/n\/?p=119188"},"modified":"2026-10-23T11:17:55","modified_gmt":"2026-10-23T09:17:55","slug":"detska-nemocnice-ve-filadelfii-podala-v-anestezii-ockovani-proti-chripce-2-054-detem-nyni-se-zameruje-na-ockovani-proti-covid-19","status":"publish","type":"post","link":"https:\/\/www.infokuryr.cz\/n\/2026\/10\/24\/detska-nemocnice-ve-filadelfii-podala-v-anestezii-ockovani-proti-chripce-2-054-detem-nyni-se-zameruje-na-ockovani-proti-covid-19\/","title":{"rendered":"D\u011btsk\u00e1 nemocnice ve Filadelfii podala v anestezii o\u010dkov\u00e1n\u00ed proti ch\u0159ipce 2 054 d\u011btem \u2013 nyn\u00ed se zam\u011b\u0159uje na o\u010dkov\u00e1n\u00ed proti COVID-19"},"content":{"rendered":"<div id=\"fb-root\"><\/div>\n<div class=\"elementor-element elementor-element-1fb4c2c elementor-widget elementor-widget-theme-post-content\" data-id=\"1fb4c2c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"theme-post-content.default\">\n<div class=\"elementor-widget-container\">\n<p class=\"wp-block-paragraph\"><strong><span dir=\"auto\">CHOP pou\u017e\u00edv\u00e1 \u010dasov\u00fd tlak v d\u011btsk\u00e9 chirurgii jako ospravedln\u011bn\u00ed pro zkr\u00e1cen\u00e9 diskuse o informovan\u00e9m souhlasu, jeliko\u017e t\u0159etina z\u00fa\u010dastn\u011bn\u00fdch rodin uvedla, \u017ee by jejich d\u011bti jinak nebyly o\u010dkov\u00e1ny.<\/span><\/strong><\/p>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">Prohl\u00e1\u0161en\u00ed D\u011btsk\u00e9 nemocnice ve Filadelfii (CHOP) ze dne 20. kv\u011btna 2026 uv\u00e1d\u00ed, \u017ee b\u011bhem ch\u0159ipkov\u00e9 sez\u00f3ny 2025-2026 nemocnice v r\u00e1mci programu s n\u00e1zvem \u201eZav\u0159ete o\u010di, budeme imunizovat\u201c provedla 2 054 o\u010dkov\u00e1n\u00ed proti ch\u0159ipce d\u011btem pod sedac\u00ed nebo anestezi\u00ed a nyn\u00ed zva\u017euje pod\u00e1v\u00e1n\u00ed o\u010dkov\u00e1n\u00ed proti COVID-19 a dal\u0161\u00edch o\u010dkov\u00e1n\u00ed b\u011bhem l\u00e9ka\u0159sk\u00fdch z\u00e1krok\u016f.<\/span><\/p>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">Nemocnice p\u0159ipou\u0161t\u00ed, \u017ee zhruba t\u0159etina z\u00fa\u010dastn\u011bn\u00fdch rodin uvedla, \u017ee by jejich d\u011bti jinak nebyly o\u010dkov\u00e1ny.<\/span><\/p>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">D\u00e1le je jako p\u0159ek\u00e1\u017eka v diskusi o obav\u00e1ch rodi\u010d\u016f ohledn\u011b o\u010dkov\u00e1n\u00ed uv\u00e1d\u011bn omezen\u00fd \u010das p\u0159ed operac\u00ed.<\/span><\/p>\n<p class=\"wp-block-paragraph\"><strong><span dir=\"auto\">To vyvol\u00e1v\u00e1 ot\u00e1zky:<\/span><\/strong><\/p>\n<ul>\n<li><span dir=\"auto\">Pro\u010d nemocnice vyu\u017e\u00edv\u00e1 chirurgick\u00e9 z\u00e1kroky pro d\u011bti ke zv\u00fd\u0161en\u00ed m\u00edry proo\u010dkovanosti?<\/span><\/li>\n<li><span dir=\"auto\">Pro\u010d se \u010dasov\u00fd tlak pou\u017e\u00edv\u00e1 jako z\u00e1minka k omezen\u00ed diskus\u00ed o rizic\u00edch o\u010dkov\u00e1n\u00ed?<\/span><\/li>\n<li><span dir=\"auto\">Kdo nez\u00e1visle ov\u011b\u0159uje informovan\u00fd souhlas a sleduje ne\u017e\u00e1douc\u00ed \u00fa\u010dinky, kdy\u017e jsou d\u011bti o\u010dkov\u00e1ny v anestezii?<\/span><\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">Vlastn\u00ed prohl\u00e1\u0161en\u00ed nemocnice odhaluj\u00ed znepokojiv\u00fd p\u0159\u00edstup.<\/span><\/p>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">D\u011bti jsou p\u0159ij\u00edm\u00e1ny kv\u016fli l\u00e9ka\u0159sk\u00fdm z\u00e1krok\u016fm, jejich bezv\u011bdom\u00ed se st\u00e1v\u00e1 d\u016fvodem k dal\u0161\u00edmu o\u010dkov\u00e1n\u00ed a instituce m\u011b\u0159\u00ed svou \u00fasp\u011b\u0161nost po\u010dtem o\u010dkov\u00e1n\u00ed, kter\u00e1 aplikuje.<\/span><\/p>\n<figure class=\"wp-block-image aligncenter size-large\"><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter\" src=\"https:\/\/substackcdn.com\/image\/fetch\/$s_!qBua!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F91eea2c0-46aa-4099-82f5-c642d7f3f908_1076x883.png\" alt=\"\" width=\"449\" height=\"369\" \/><figcaption class=\"wp-element-caption\"><span dir=\"auto\">Zpravodaj D\u011btsk\u00e9 nemocnice ve Filadelfii ze dne 20. kv\u011btna 2026 uv\u00e1d\u00ed, \u017ee program \u201eZav\u0159ete o\u010di, budeme imunizovat\u201c si kladl za c\u00edl zv\u00fd\u0161it m\u00edru proo\u010dkovanosti proti ch\u0159ipce pod\u00e1v\u00e1n\u00edm o\u010dkov\u00e1n\u00ed d\u011btem b\u011bhem l\u00e9ka\u0159sk\u00fdch z\u00e1krok\u016f v sedaci nebo anestezii.<\/span><\/figcaption><\/figure>\n<figure class=\"wp-block-image aligncenter size-large\"><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter\" src=\"https:\/\/substackcdn.com\/image\/fetch\/$s_!jciS!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F43be58b3-1bf9-4b7f-9a0a-fce326d676d5_1073x386.png\" alt=\"\" width=\"464\" height=\"167\" \/><figcaption class=\"wp-element-caption\"><span dir=\"auto\">D\u011btsk\u00e1 nemocnice ve Filadelfii uzn\u00e1v\u00e1, \u017ee m\u011b\u0159\u00ed \u00fasp\u011b\u0161nost sv\u00e9ho programu o\u010dkov\u00e1n\u00ed proti ch\u0159ipce v anestezii po\u010dtem podan\u00fdch d\u00e1vek. Uv\u00e1d\u00ed, \u017ee v sez\u00f3n\u011b 2025\u20132026 bylo pod\u00e1no 2 054 d\u00e1vek vakc\u00edny proti ch\u0159ipce, a uv\u00e1d\u00ed, \u017ee p\u0159ibli\u017en\u011b t\u0159etina z\u00fa\u010dastn\u011bn\u00fdch rodin uvedla, \u017ee by jejich d\u011bti jinak nebyly o\u010dkov\u00e1ny.<\/span><\/figcaption><\/figure>\n<h3 class=\"has-medium-font-size wp-block-paragraph\"><strong><span dir=\"auto\">2 054 d\u00e1vek, v\u010detn\u011b n\u011bkter\u00fdch pro d\u011bti, kter\u00e9 by jinak nebyly o\u010dkov\u00e1ny<\/span><\/strong><\/h3>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">CHOP potvrzuje, \u017ee v r\u00e1mci sv\u00e9ho programu je od roku 2023 prov\u00e1d\u011bno o\u010dkov\u00e1n\u00ed proti ch\u0159ipce b\u011bhem sedace nebo anestezie v souvislosti s jin\u00fdmi z\u00e1kroky.<\/span><\/p>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">Podle nemocnice:<\/span><\/p>\n<p class=\"wp-block-paragraph\"><em><span dir=\"auto\">\u201ePokud rodiny souhlas\u00ed, o\u010dkov\u00e1n\u00ed bude provedeno, zat\u00edmco d\u00edt\u011b bude pod\u00e1no sedativum.\u201c<\/span><\/em><\/p>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">Nemocnice v\u00fdslovn\u011b uv\u00e1d\u00ed, \u017ee zv\u00fd\u0161en\u00ed m\u00edry proo\u010dkovanosti je jedn\u00edm z jej\u00edch c\u00edl\u016f.<\/span><\/p>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">P\u00ed\u0161e se tam:<\/span><\/p>\n<p class=\"wp-block-paragraph\"><em><span dir=\"auto\">\u201e\u00dasp\u011bch byl m\u011b\u0159en p\u0159edev\u0161\u00edm po\u010dtem d\u00e1vek vakc\u00edny podan\u00fdch za sez\u00f3nu.\u201c<\/span><\/em><\/p>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">V sez\u00f3n\u011b 2025\u20132026 tento po\u010det \u010dinil 2 054 d\u00e1vek.<\/span><\/p>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">CHOP d\u00e1le p\u0159ipou\u0161t\u00ed:<\/span><\/p>\n<p class=\"wp-block-paragraph\"><em><span dir=\"auto\">\u201eAsi t\u0159etina rodin uv\u00e1d\u00ed, \u017ee by jejich d\u00edt\u011b jinak nedostalo o\u010dkov\u00e1n\u00ed proti ch\u0159ipce.\u201c<\/span><\/em><\/p>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">Nemocnice v\u00fdslovn\u011b uv\u00e1d\u00ed skepticismus ohledn\u011b o\u010dkov\u00e1n\u00ed jako jeden z d\u016fvod\u016f.<\/span><\/p>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">CHOP vyu\u017e\u00edv\u00e1 n\u00e1v\u0161t\u011bvy d\u011btsk\u00fdch chirurg\u016f ke zv\u00fd\u0161en\u00ed m\u00edry proo\u010dkovanosti u d\u011bt\u00ed, kter\u00e9 by jinak mohly z\u016fstat neo\u010dkovan\u00e9.<\/span><\/p>\n<h3 class=\"has-medium-font-size wp-block-paragraph\"><strong><span dir=\"auto\">\u010casov\u00e1 omezen\u00ed operac\u00ed jako z\u00e1minka pro m\u00e9n\u011b doporu\u010den\u00ed ohledn\u011b o\u010dkov\u00e1n\u00ed<\/span><\/strong><\/h3>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">CHOP uzn\u00e1v\u00e1, \u017ee rodi\u010de n\u011bkdy odm\u00edtaj\u00ed o\u010dkov\u00e1n\u00ed z d\u016fvodu bezpe\u010dnostn\u00edch obav nebo n\u00e1mitek proti pod\u00e1v\u00e1n\u00ed vakc\u00edn b\u011bhem l\u00e9ka\u0159sk\u00fdch z\u00e1krok\u016f.<\/span><\/p>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">Nemocnice pot\u00e9 nab\u00eddla n\u00e1sleduj\u00edc\u00ed vysv\u011btlen\u00ed:<\/span><\/p>\n<p class=\"wp-block-paragraph\"><em><span dir=\"auto\">&#8222;\u010casov\u00e1 omezen\u00ed v periopera\u010dn\u00edm prost\u0159ed\u00ed mohou omezit p\u0159\u00edle\u017eitosti k hloubkov\u00fdm diskus\u00edm.&#8220;<\/span><\/em><\/p>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">Nemocnice z\u00e1m\u011brn\u011b za\u010dlenila dal\u0161\u00ed o\u010dkov\u00e1n\u00ed do chirurgick\u00e9 p\u00e9\u010de a pot\u00e9 uv\u00e1d\u00ed \u010dasov\u00fd tlak tohoto prost\u0159ed\u00ed jako p\u0159ek\u00e1\u017eku v diskusi o obav\u00e1ch rodi\u010d\u016f.<\/span><\/p>\n<ul>\n<li><span dir=\"auto\">Kdo rozhodl, \u017ee zv\u00fd\u0161en\u00ed m\u00edry proo\u010dkovanosti ospravedl\u0148uje zaveden\u00ed dal\u0161\u00edho l\u00e9ka\u0159sk\u00e9ho opat\u0159en\u00ed do ji\u017e tak \u010dasov\u011b kritick\u00e9ho chirurgick\u00e9ho z\u00e1kroku?<\/span><\/li>\n<li><span dir=\"auto\">Maj\u00ed rodi\u010de dostatek \u010dasu sezn\u00e1mit se s riziky o\u010dkov\u00e1n\u00ed, prodiskutovat alternativy a odm\u00edtnout o\u010dkov\u00e1n\u00ed bez n\u00e1tlaku?<\/span><\/li>\n<li><span dir=\"auto\">Je informovan\u00fd souhlas s o\u010dkov\u00e1n\u00edm dokumentov\u00e1n odd\u011blen\u011b od souhlasu s operac\u00ed a anestezi\u00ed?<\/span><\/li>\n<li><span dir=\"auto\">A kdo nez\u00e1visle ov\u011b\u0159\u00ed, zda byl tento souhlas skute\u010dn\u011b zalo\u017een na dostate\u010dn\u00fdch informac\u00edch?<\/span><\/li>\n<\/ul>\n<figure class=\"wp-block-image aligncenter size-large\"><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter\" src=\"https:\/\/substackcdn.com\/image\/fetch\/$s_!W9pc!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F62e90e87-f93d-4215-874b-4a9958722346_1436x515.png\" alt=\"\" width=\"499\" height=\"179\" \/><figcaption class=\"wp-element-caption\"><span dir=\"auto\">D\u011btsk\u00e1 nemocnice ve Filadelfii pova\u017euje rodi\u010de, kte\u0159\u00ed odm\u00edtaj\u00ed o\u010dkov\u00e1n\u00ed, za p\u0159ek\u00e1\u017eku sv\u00e9ho programu pod\u00e1v\u00e1n\u00ed injekc\u00ed d\u011btem v anestezii a omezen\u00fd \u010das p\u0159ed operac\u00ed vyu\u017e\u00edv\u00e1 jako ospravedln\u011bn\u00ed pro krat\u0161\u00ed diskuse o o\u010dkovac\u00edch obav\u00e1ch, co\u017e vyvol\u00e1v\u00e1 v\u00e1\u017en\u00e9 ot\u00e1zky ohledn\u011b informovan\u00e9ho souhlasu a pr\u00e1va odm\u00edtnout.<\/span><\/figcaption><\/figure>\n<h3 class=\"has-medium-font-size wp-block-paragraph\"><strong><span dir=\"auto\">O\u010dkov\u00e1n\u00ed proti COVIDu, dal\u0161\u00ed o\u010dkov\u00e1n\u00ed a automatizovan\u00e1 identifikace pacient\u016f<\/span><\/strong><\/h3>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">CHOP ji\u017e zva\u017euje roz\u0161\u00ed\u0159en\u00ed programu.<\/span><\/p>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">Nemocnice vysv\u011btluje:<\/span><\/p>\n<p class=\"wp-block-paragraph\"><strong><em><span dir=\"auto\">\u201eZkoum\u00e1me tak\u00e9 proveditelnost nab\u00eddky dal\u0161\u00edch o\u010dkov\u00e1n\u00ed, v\u010detn\u011b vakc\u00edn proti RSV a COVID-19.\u201c<\/span><\/em><\/strong><\/p>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">Pl\u00e1ny zahrnuj\u00ed tak\u00e9 identifikaci d\u011bt\u00ed, kter\u00e9 maj\u00ed zpo\u017ed\u011bn\u00ed s o\u010dkov\u00e1n\u00edm, a tak\u00e9 v\u00fdvoj automatizovan\u00fdch syst\u00e9m\u016f pro ozna\u010dov\u00e1n\u00ed pacient\u016f napl\u00e1novan\u00fdch na z\u00e1kroky, kte\u0159\u00ed pot\u0159ebuj\u00ed opo\u017ed\u011bn\u00e9 o\u010dkov\u00e1n\u00ed nebo laboratorn\u00ed testy.<\/span><\/p>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">Nemocnice konkr\u00e9tn\u011b identifikuje d\u011bti s neurologickou rozmanitost\u00ed, kter\u00e9 maj\u00ed pot\u00ed\u017ee sn\u00e1\u0161et injekce, jako potenci\u00e1ln\u00ed c\u00edlovou skupinu.<\/span><\/p>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">CHOP rovn\u011b\u017e uzn\u00e1v\u00e1 mo\u017enost, \u017ee:<\/span><\/p>\n<p class=\"wp-block-paragraph\"><strong><em><span dir=\"auto\">\u201eM\u016f\u017ee doj\u00edt k z\u00e1m\u011bn\u011b o\u010dek\u00e1van\u00fdch symptom\u016f souvisej\u00edc\u00edch s o\u010dkov\u00e1n\u00edm a symptom\u016f souvisej\u00edc\u00edch se z\u00e1kladn\u00edm onemocn\u011bn\u00edm nebo uzdraven\u00edm d\u00edt\u011bte.\u201c<\/span><\/em><\/strong><\/p>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">Nemocnice zva\u017euje dal\u0161\u00ed injekce, ale uzn\u00e1v\u00e1, \u017ee p\u0159\u00edznaky souvisej\u00edc\u00ed s o\u010dkov\u00e1n\u00edm by mohly b\u00fdt zam\u011bn\u011bny za komplikace vypl\u00fdvaj\u00edc\u00ed z nemoci nebo zotaven\u00ed d\u00edt\u011bte.<\/span><\/p>\n<ul>\n<li><span dir=\"auto\">Kdo bude nez\u00e1visle zkoumat vedlej\u0161\u00ed \u00fa\u010dinky?<\/span><\/li>\n<li><span dir=\"auto\">Jak\u00e9 d\u016fkazy podporuj\u00ed bezpe\u010dnost pod\u00e1v\u00e1n\u00ed dal\u0161\u00edch vakc\u00edn b\u011bhem anestezie?<\/span><\/li>\n<li><span dir=\"auto\">A jak maj\u00ed rodi\u010de v\u011bd\u011bt, zda poopera\u010dn\u00ed p\u0159\u00edznaky byly zp\u016fsobeny operac\u00ed, anestezi\u00ed nebo injekc\u00ed, kter\u00e1 byla jejich d\u00edt\u011bti pod\u00e1na v bezv\u011bdom\u00ed?<\/span><\/li>\n<\/ul>\n<figure class=\"wp-block-image aligncenter size-large\"><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter\" src=\"https:\/\/substackcdn.com\/image\/fetch\/$s_!6YaY!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6ed0aa51-83b9-48fa-9645-ef61305465c8_1471x398.png\" alt=\"\" width=\"759\" height=\"205\" \/><figcaption class=\"wp-element-caption\"><span dir=\"auto\">D\u011btsk\u00e1 nemocnice ve Filadelfii ozn\u00e1mila pl\u00e1ny na roz\u0161\u00ed\u0159en\u00ed sv\u00e9ho o\u010dkovac\u00edho programu v anestezii o o\u010dkov\u00e1n\u00ed proti COVID-19, RSV a dopl\u0148uj\u00edc\u00ed o\u010dkov\u00e1n\u00ed, ale uzn\u00e1v\u00e1, \u017ee p\u0159\u00edznaky souvisej\u00edc\u00ed s o\u010dkov\u00e1n\u00edm by mohly b\u00fdt zam\u011bn\u011bny za komplikace spojen\u00e9 s nemoc\u00ed nebo uzdraven\u00edm d\u00edt\u011bte \u2013 co\u017e vyvol\u00e1v\u00e1 v\u00e1\u017en\u00e9 ot\u00e1zky ohledn\u011b bezpe\u010dnosti a informovan\u00e9ho souhlasu.<\/span><\/figcaption><\/figure>\n<h3 class=\"has-medium-font-size wp-block-paragraph\"><strong><span dir=\"auto\">N\u00e1rodn\u00ed pediatrick\u00e1 organizace tuto praxi propaguje<\/span><\/strong><\/h3>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">\u010cl\u00e1nek publikovan\u00fd Americkou akademi\u00ed pediatrie 9. b\u0159ezna 2026 s n\u00e1zvem \u201eJak za\u010dlenit imunizaci do procesu pediatrick\u00e9 chirurgie a procedur\u00e1ln\u00ed p\u00e9\u010de\u201c, jeho\u017e spoluautorkami jsou anesteziolo\u017eka CHOP Caroline Pasquariello a d\u011btsk\u00e1 anesteziolo\u017eka Kim Strupp.<\/span><\/p>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">Publikace ukazuje, \u017ee integrace o\u010dkov\u00e1n\u00ed do chirurgick\u00e9 p\u00e9\u010de je prosazov\u00e1na i nad r\u00e1mec CHOP.<\/span><\/p>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">Informace od CHOP mezit\u00edm nazna\u010duj\u00ed, \u017ee fakturace za o\u010dkov\u00e1n\u00ed podan\u00e9 b\u011bhem operace p\u0159edstavovala velkou v\u00fdzvu a vy\u017eadovala zapojen\u00ed specialist\u016f na fakturaci.<\/span><\/p>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">Program proto jde nad r\u00e1mec individu\u00e1ln\u00edch l\u00e9ka\u0159sk\u00fdch rozhodnut\u00ed.<\/span><\/p>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">Zahrnuje spr\u00e1vu nemocnic, platebn\u00ed metody a syst\u00e9my ur\u010den\u00e9 ke zv\u00fd\u0161en\u00ed pod\u00e1v\u00e1n\u00ed vakc\u00edn b\u011bhem z\u00e1krok\u016f.<\/span><\/p>\n<ul>\n<li><span dir=\"auto\">Kdo m\u00e1 finan\u010dn\u00ed prosp\u011bch z dodate\u010dn\u00e9ho o\u010dkov\u00e1n\u00ed?<\/span><\/li>\n<li><span dir=\"auto\">Kdo tyto programy monitoruje?<\/span><\/li>\n<li><span dir=\"auto\">A pro\u010d by m\u011bly b\u00fdt rodiny, kter\u00e9 pot\u0159ebuj\u00ed chirurgick\u00fd z\u00e1krok, zahrnuty do snah nemocnic o zv\u00fd\u0161en\u00ed proo\u010dkovanosti?<\/span><\/li>\n<\/ul>\n<figure class=\"wp-block-image aligncenter size-large\"><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter\" src=\"https:\/\/substackcdn.com\/image\/fetch\/$s_!lyky!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9fd0eb99-644e-4246-b9f6-16b73168b5e7_567x728.png\" alt=\"\" width=\"463\" height=\"594\" \/><\/figure>\n<h3 class=\"has-medium-font-size wp-block-paragraph\"><strong><span dir=\"auto\">Z\u00e1v\u011br<\/span><\/strong><\/h3>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">D\u011btsk\u00e1 nemocnice ve Filadelfii potvrzuje, \u017ee d\u011btem pod\u00e1no 2 054 d\u00e1vek vakc\u00edny proti ch\u0159ipce v sedaci nebo anestezii, v\u010detn\u011b d\u011bt\u00ed, jejich\u017e rodiny uvedly, \u017ee by jinak nebyly o\u010dkov\u00e1ny.<\/span><\/p>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">Nemocnice m\u011b\u0159\u00ed \u00fasp\u011b\u0161nost po\u010dtem podan\u00fdch o\u010dkov\u00e1n\u00ed, jako p\u0159ek\u00e1\u017eku podrobn\u00fdch diskus\u00ed o o\u010dkov\u00e1n\u00ed uv\u00e1d\u00ed \u010dasov\u00fd tlak b\u011bhem operac\u00ed a v sou\u010dasn\u00e9 dob\u011b zkoum\u00e1 roz\u0161\u00ed\u0159en\u00ed o\u010dkov\u00e1n\u00ed proti COVID-19 a tak\u00e9 automatickou identifikaci d\u011bt\u00ed, kter\u00e9 maj\u00ed b\u00fdt o\u010dkov\u00e1ny.<\/span><\/p>\n<p class=\"wp-block-paragraph\"><span dir=\"auto\">Pot\u0159eba chirurgick\u00e9ho z\u00e1kroku by nikdy nem\u011bla b\u00fdt zneu\u017e\u00edv\u00e1na jako p\u00e1ka k vynucen\u00ed dal\u0161\u00edho o\u010dkov\u00e1n\u00ed. Informovan\u00fd souhlas vy\u017eaduje \u010das, \u00fapln\u00e9 prohl\u00e1\u0161en\u00ed o rizic\u00edch a svobodu odm\u00edtnout o\u010dkov\u00e1n\u00ed bez n\u00e1tlaku.<\/span><\/p>\n<ul>\n<li><span dir=\"auto\">Pro\u010d se nemocnice p\u0159i dodate\u010dn\u00e9m o\u010dkov\u00e1n\u00ed zam\u011b\u0159uj\u00ed konkr\u00e9tn\u011b na d\u011bti v anestezii?<\/span><\/li>\n<li><span dir=\"auto\">Kdo nez\u00e1visle ov\u011b\u0159uje informovan\u00fd souhlas a vy\u0161et\u0159uje potenci\u00e1ln\u00ed \u00fajmu?<\/span><\/li>\n<li><span dir=\"auto\">A kdo chr\u00e1n\u00ed d\u011bti a rodi\u010de, kdy\u017e se c\u00edle institucion\u00e1ln\u00edho o\u010dkov\u00e1n\u00ed st\u0159et\u00e1vaj\u00ed s jejich pr\u00e1vem odm\u00edtnout o\u010dkov\u00e1n\u00ed?<\/span><\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\"><strong><em><span dir=\"auto\">Od Jona Fleetwooda<\/span><\/em><\/strong><\/p>\n<\/div>\n<\/div>\n<div class=\"elementor-element elementor-element-8c57238 quelle dc-has-condition dc-condition-empty elementor-widget elementor-widget-heading\" data-id=\"8c57238\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n<div class=\"elementor-widget-container\">\n<h3 class=\"elementor-heading-title elementor-size-default\"><span style=\"font-size: 10pt;\"><a href=\"https:\/\/jonfleetwood.substack.com\/p\/childrens-hospital-of-philadelphia\" target=\"_blank\" rel=\"nofollow noopener\"><span dir=\"auto\">Zdroj<\/span><\/a><\/span><\/h3>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>CHOP pou\u017e\u00edv\u00e1 \u010dasov\u00fd tlak v d\u011btsk\u00e9 chirurgii jako ospravedln\u011bn\u00ed pro zkr\u00e1cen\u00e9 diskuse o informovan\u00e9m souhlasu,&#8230;<\/p>\n","protected":false},"author":2,"featured_media":88578,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[23,245,1083,213,37,651],"_links":{"self":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/119188"}],"collection":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/comments?post=119188"}],"version-history":[{"count":0,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/119188\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media\/88578"}],"wp:attachment":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media?parent=119188"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/categories?post=119188"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/tags?post=119188"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}