{"id":31312,"date":"2025-05-21T05:17:46","date_gmt":"2025-05-21T03:17:46","guid":{"rendered":"https:\/\/cream-deluxe.com\/?p=31312"},"modified":"2025-05-21T05:17:48","modified_gmt":"2025-05-21T03:17:48","slug":"current-status-of-nitrous-oxide-use-in-pediatric-patients","status":"publish","type":"post","link":"https:\/\/cream-deluxe.com\/cs\/blog\/current-status-of-nitrous-oxide-use-in-pediatric-patients\/","title":{"rendered":"Sou\u010dasn\u00fd stav pou\u017e\u00edv\u00e1n\u00ed oxidu dusn\u00e9ho u d\u011btsk\u00fdch pacient\u016f"},"content":{"rendered":"
<\/div>\n

Oxid dusn\u00fd (N\u2082O), poprv\u00e9 syntetizovan\u00fd v roce 1772 Josephem Priestleym, se za\u010dal \u0161iroce pou\u017e\u00edvat v l\u00e9ka\u0159sk\u00e9 praxi pot\u00e9, co Gardner Colton a Horace Wells v roce 1844 prok\u00e1zali jeho analgetick\u00e9 \u00fa\u010dinky. Po uveden\u00ed lahv\u00ed se stla\u010den\u00fdm plynem na trh v roce 1868 se oxid dusn\u00fd stal kl\u00ed\u010dov\u00fdm dopl\u0148kem pro zubn\u00ed sedaci, porodnickou analgezii a celkovou anestezii. Mezi jeho klinick\u00e9 v\u00fdhody pat\u0159\u00ed bezprobl\u00e9mov\u00e1 indukce, sn\u00ed\u017een\u00e9 pou\u017e\u00edv\u00e1n\u00ed prim\u00e1rn\u00edch anestetik, kardiovaskul\u00e1rn\u00ed stabilita a rychl\u00e9 poopera\u010dn\u00ed zotaven\u00ed.<\/p>\n\n\n\n

Navzdory jeho prok\u00e1zan\u00e9 klinick\u00e9 hodnot\u011b vyvol\u00e1vaj\u00ed obavy z jeho vedlej\u0161\u00edch metabolick\u00fdch \u00fa\u010dink\u016f (nap\u0159. potla\u010den\u00ed metabolismu fol\u00e1t\u016f), bezpe\u010dnostn\u00edch rizik za\u0159\u00edzen\u00ed a jeho vlivu jako siln\u00e9ho sklen\u00edkov\u00e9ho plynu neust\u00e1l\u00e9 diskuse ji\u017e od poloviny 19. stolet\u00ed. Je v\u0161ak d\u016fle\u017eit\u00e9 poznamenat, \u017ee na l\u00e9ka\u0159sk\u00e9 pou\u017eit\u00ed p\u0159ipad\u00e1 pouze 2% celosv\u011btov\u00fdch emis\u00ed oxidu dusn\u00e9ho, co\u017e nazna\u010duje omezen\u00fd p\u0159\u00edsp\u011bvek k \u017eivotn\u00edmu prost\u0159ed\u00ed.<\/strong><\/p>\n\n\n\n

Tento p\u0159ehled se zam\u011b\u0159uje na d\u011btskou anestezii a popisuje farmakologick\u00e9 vlastnosti, p\u0159\u00ednosy a rizika pou\u017eit\u00ed oxidu dusn\u00e9ho a jeho mo\u017en\u00fd vliv na v\u00fdvoj nervov\u00e9 soustavy. Krom\u011b toho stru\u010dn\u011b p\u0159edstavujeme jeho regulovan\u00e9 nemedic\u00ednsk\u00e9 aplikace.<\/p>\n\n\n\n

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I. Farmakologick\u00e9 vlastnosti oxidu dusn\u00e9ho<\/a><\/strong><\/h2>\n\n\n\n
\"\"<\/figure>\n\n\n\n

(1) Fyzik\u00e1ln\u00ed a chemick\u00e9 vlastnosti<\/strong><\/strong><\/h3>\n\n\n\n

Oxid dusn\u00fd (N\u2082O), b\u011b\u017en\u011b zn\u00e1m\u00fd jako sm\u00edchov\u00fd plyn, je bezbarv\u00fd plyn se sladk\u00fdm z\u00e1pachem p\u0159i standardn\u00ed teplot\u011b a tlaku. Je chemicky stabiln\u00ed, jeho molekulov\u00e1 hmotnost je 44,01 g\/mol, bod varu -88,48 \u00b0C a bod t\u00e1n\u00ed -90,8 \u00b0C. Je rozpustn\u00fd ve vod\u011b a organick\u00fdch rozpou\u0161t\u011bdlech.<\/p>\n\n\n\n

(2) Mechanismus \u00fa\u010dinku<\/strong><\/strong><\/h3>\n\n\n\n

Oxid dusn\u00fd p\u016fsob\u00ed p\u0159edev\u0161\u00edm inhibic\u00ed neurotransmise v centr\u00e1ln\u00ed nervov\u00e9 soustav\u011b. Interaguje s mnoha receptory, v\u010detn\u011b receptor\u016f pro N-methyl-D-aspart\u00e1t (NMDA) a receptor\u016f pro kyselinu gama-aminom\u00e1selnou (GABA), \u010d\u00edm\u017e tlum\u00ed neuron\u00e1ln\u00ed excitabilitu a vyvol\u00e1v\u00e1 sedativn\u00ed, analgetick\u00e9 a anestetick\u00e9 \u00fa\u010dinky. Krom\u011b toho oxid dusn\u00fd ovliv\u0148uje intracelul\u00e1rn\u00ed sign\u00e1ln\u00ed dr\u00e1hy a moduluje uvol\u0148ov\u00e1n\u00ed neurotransmiter\u016f, \u010d\u00edm\u017e zvy\u0161uje svou farmakologickou \u00fa\u010dinnost.<\/p>\n\n\n\n

(3) Metabolismus v t\u011ble<\/strong><\/strong><\/h3>\n\n\n\n

Oxid dusn\u00fd podl\u00e9h\u00e1 v t\u011ble minim\u00e1ln\u00edmu metabolismu. P\u0159ibli\u017en\u011b 80%-90% vdechnut\u00e9ho oxidu dusn\u00e9ho je vydechnuto pl\u00edcemi v nezm\u011bn\u011bn\u00e9 podob\u011b, zat\u00edmco zbytek je po kr\u00e1tk\u00e9 dob\u011b pobytu postupn\u011b vylou\u010den. Vzhledem k n\u00edzk\u00e9 rychlosti metabolismu se oxid dusn\u00fd v t\u011ble hromad\u00ed minim\u00e1ln\u011b a m\u00e1 mal\u00fd vliv na funkci jater a ledvin.<\/p>\n\n\n\n

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II. V\u00fdhody a nev\u00fdhody jako anestetika<\/strong><\/strong><\/h2>\n\n\n\n

(1) V\u00fdhody<\/strong><\/strong><\/h3>\n\n\n\n

Synergick\u00e1 anestezie<\/strong>: Oxid dusn\u00fd, \u010dasto kombinovan\u00fd s \u00e9terem nebo sevofluranem, usnad\u0148uje hlad\u0161\u00ed indukci a sni\u017euje d\u00e1vkov\u00e1n\u00ed a vedlej\u0161\u00ed \u00fa\u010dinky prim\u00e1rn\u00edch anestetik (nap\u0159. minimalizuje podr\u00e1\u017ed\u011bn\u00ed d\u00fdchac\u00edch cest a kardiopulmon\u00e1ln\u00ed depresi zp\u016fsobenou \u00e9terem).<\/p>\n\n\n\n

Kardiopulmon\u00e1ln\u00ed stabilita<\/strong>: M\u00e1 minim\u00e1ln\u00ed kardiovaskul\u00e1rn\u00ed \u00fatlum, tak\u017ee je vhodn\u00fd pro d\u011btsk\u00e9 pacienty s komorbidn\u00edmi srde\u010dn\u00edmi nebo plicn\u00edmi chorobami a zvy\u0161uje bezpe\u010dnost anestezie.<\/p>\n\n\n\n

Rychl\u00e9 zotaven\u00ed<\/strong>: Vzhledem k n\u00edzk\u00e9mu metabolismu a prim\u00e1rn\u00edmu zp\u016fsobu vydechov\u00e1n\u00ed se d\u011bt\u0161t\u00ed pacienti po ukon\u010den\u00ed pod\u00e1v\u00e1n\u00ed rychle probouzej\u00ed k v\u011bdom\u00ed a maj\u00ed m\u00e9n\u011b poopera\u010dn\u00edch komplikac\u00ed, jako je agitovanost, nevolnost nebo zvracen\u00ed.<\/p>\n\n\n\n

\u00da\u010dinn\u00e1 analgezie<\/strong>: Oxid dusn\u00fd lze pou\u017e\u00edt samostatn\u011b nebo v kombinaci s n\u00edm p\u0159i drobn\u00fdch z\u00e1kroc\u00edch a diagnostick\u00fdch operac\u00edch, kdy \u00fa\u010dinn\u011b tlum\u00ed bolest a p\u0159edch\u00e1z\u00ed vedlej\u0161\u00edm \u00fa\u010dink\u016fm spojen\u00fdm se siln\u011bj\u0161\u00edmi analgetiky.<\/p>\n\n\n\n

(2) Nev\u00fdhody<\/strong><\/strong><\/h3>\n\n\n\n

Metabolick\u00e1 rizika<\/strong>: Dlouhodob\u00e1 expozice nebo expozice vysok\u00fdm d\u00e1vk\u00e1m m\u016f\u017ee inhibovat syntet\u00e1zu methioninu, co\u017e vede k poruch\u00e1m metabolismu fol\u00e1t\u016f a poruch\u00e1m synt\u00e9zy DNA, kter\u00e9 mohou v\u00fdznamn\u011b ovlivnit rychle se d\u011bl\u00edc\u00ed bu\u0148ky, jako je kostn\u00ed d\u0159e\u0148 a nervov\u00e1 tk\u00e1\u0148.<\/p>\n\n\n\n

Bezpe\u010dnostn\u00ed rizika<\/strong>: Poruchy za\u0159\u00edzen\u00ed (nap\u0159. net\u011bsnosti, nespr\u00e1vn\u00e9 zapojen\u00ed) mohou v\u00e9st k hypoxii. Ve sm\u011bsi s ho\u0159lav\u00fdmi plyny p\u0159edstavuje oxid dusn\u00fd riziko v\u00fdbuchu, co\u017e vy\u017eaduje p\u0159\u00edsn\u00e9 kontroly prost\u0159ed\u00ed.<\/p>\n\n\n\n

Neuro-v\u00fdvojov\u00e9 probl\u00e9my<\/strong>: Potenci\u00e1ln\u00ed neurotoxick\u00e9 \u00fa\u010dinky u d\u011bt\u00ed jsou nad\u00e1le p\u0159edm\u011btem zkoum\u00e1n\u00ed. Dlouhodob\u00e1 expozice vysok\u00fdm koncentrac\u00edm m\u016f\u017ee zp\u016fsobit apopt\u00f3zu neuron\u016f a synaptick\u00e9 abnormality, a\u010dkoli bezpe\u010dnost kr\u00e1tkodob\u00e9ho klinick\u00e9ho pou\u017eit\u00ed je st\u00e1le diskutov\u00e1na.<\/p>\n\n\n\n

Dopad na \u017eivotn\u00ed prost\u0159ed\u00ed<\/strong>: Oxid dusn\u00fd je sklen\u00edkov\u00fdm plynem s potenci\u00e1lem glob\u00e1ln\u00edho oteplov\u00e1n\u00ed 300kr\u00e1t vy\u0161\u0161\u00edm ne\u017e CO\u2082, a proto z\u016fst\u00e1v\u00e1 probl\u00e9mem v oblasti udr\u017eiteln\u00e9 zdravotn\u00ed p\u00e9\u010de, p\u0159esto\u017ee na l\u00e9ka\u0159sk\u00e9 pou\u017eit\u00ed p\u0159ipad\u00e1 pouze 2% celkov\u00fdch emis\u00ed.<\/p>\n\n\n\n

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III. \u00daloha v chirurgick\u00e9 sedaci a analgezii<\/strong><\/strong><\/h2>\n\n\n\n

(1) Aplikace v pediatrick\u00e9 chirurgii<\/a><\/strong><\/h3>\n\n\n\n
\"\"<\/figure>\n\n\n\n

Oxid dusn\u00fd se pou\u017e\u00edv\u00e1 p\u0159edev\u0161\u00edm k p\u0159edopera\u010dn\u00ed sedaci a intraopera\u010dn\u00ed analgezii v d\u011btsk\u00e9 chirurgii. Je vhodn\u00fd zejm\u00e9na pro z\u00e1kroky, jako jsou stomatologick\u00e9 pr\u00e1ce (nap\u0159. v\u00fdpln\u011b, extrakce), excize povrchov\u00fdch \u00fatvar\u016f a ob\u0159\u00edzka. Vdechov\u00e1n\u00edm sm\u011bsi kysl\u00edku a oxidu dusn\u00e9ho doch\u00e1z\u00ed u d\u011bt\u00ed k rychl\u00e9 sedaci, sn\u00ed\u017een\u00ed \u00fazkosti a \u00falev\u011b od intraopera\u010dn\u00ed bolesti - \u010dasto ve spojen\u00ed s lok\u00e1ln\u00ed anestezi\u00ed pro \u00fa\u010dinnou l\u00e9\u010dbu bolesti.<\/p>\n\n\n\n

(2) V\u00fdhody v klinick\u00e9m prost\u0159ed\u00ed<\/strong><\/strong><\/h3>\n\n\n\n

Oxid dusn\u00fd m\u00e1 ve srovn\u00e1n\u00ed s intraven\u00f3zn\u00edmi sedativy n\u011bkolik praktick\u00fdch v\u00fdhod:<\/p>\n\n\n\n

Neinvazivn\u00ed a pohodln\u00e9<\/strong>: Eliminuje pot\u0159ebu infuzn\u00edho p\u0159\u00edstupu, minimalizuje bolest a strach u d\u011bt\u00ed a zlep\u0161uje p\u0159ijet\u00ed jak pacienty, tak l\u00e9ka\u0159i.<\/p>\n\n\n\n

Dynamick\u00e9 \u0159\u00edzen\u00ed<\/strong>: Inhala\u010dn\u00ed koncentraci lze upravovat v re\u00e1ln\u00e9m \u010dase podle pot\u0159eb chirurgick\u00e9ho z\u00e1kroku, co\u017e umo\u017e\u0148uje p\u0159esnou kontrolu nad hloubkou sedace a analgezie.<\/p>\n\n\n\n

Rychl\u00fd obrat<\/strong>: Rychl\u00fd n\u00e1stup a zotaven\u00ed optimalizuj\u00ed klinick\u00fd pracovn\u00ed postup a efektivitu postup\u016f.<\/p>\n\n\n\n

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IV. Pou\u017eit\u00ed p\u0159i l\u00e9\u010db\u011b pop\u00e1lenin a chronick\u00fdch stav\u016f<\/strong><\/strong><\/h2>\n\n\n\n

(1) Pacienti s pop\u00e1leninami<\/strong><\/strong><\/h3>\n\n\n\n

Ob\u011bti pop\u00e1lenin, zejm\u00e9na d\u011bti, poci\u0165uj\u00ed p\u0159i o\u0161et\u0159ov\u00e1n\u00ed ran a v\u00fdm\u011bn\u011b obvaz\u016f silnou bolest. Analgetick\u00e9 vlastnosti oxidu dusn\u00e9ho \u00fa\u010dinn\u011b zm\u00edr\u0148uj\u00ed bolest a zvy\u0161uj\u00ed pohodl\u00ed. Jeho sedativn\u00ed \u00fa\u010dinky tak\u00e9 sni\u017euj\u00ed \u00fazkost a emocion\u00e1ln\u00ed stres, co\u017e usnad\u0148uje lep\u0161\u00ed hojen\u00ed ran a dodr\u017eov\u00e1n\u00ed l\u00e9\u010dby.<\/p>\n\n\n\n

(2) Chronick\u00e1 onemocn\u011bn\u00ed<\/strong><\/strong><\/h3>\n\n\n\n

Oxid dusn\u00fd m\u00e1 potenci\u00e1ln\u00ed vyu\u017eit\u00ed p\u0159i l\u00e9\u010db\u011b chronick\u00fdch bolestiv\u00fdch stav\u016f, jako je bolest souvisej\u00edc\u00ed s rakovinou a neuropatick\u00e1 bolest. Do\u010dasn\u00e1 \u00faleva od bolesti prost\u0159ednictv\u00edm inhalace m\u016f\u017ee zlep\u0161it kvalitu \u017eivota. Dlouhodob\u00e9 pou\u017e\u00edv\u00e1n\u00ed p\u0159i l\u00e9\u010db\u011b chronick\u00fdch onemocn\u011bn\u00ed v\u0161ak vy\u017eaduje pe\u010dliv\u00e9 sledov\u00e1n\u00ed jeho metabolick\u00fdch ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f a mo\u017en\u00e9ho vlivu na neurov\u00fdvoj.<\/p>\n\n\n\n

\n\n\n\n

V. Leg\u00e1ln\u00ed a odpov\u011bdn\u00e9 pou\u017e\u00edv\u00e1n\u00ed oxidu dusn\u00e9ho<\/strong><\/strong><\/h2>\n\n\n\n

(1) Dodr\u017eov\u00e1n\u00ed z\u00e1konn\u00e9ho pou\u017eit\u00ed<\/strong><\/strong><\/h3>\n\n\n\n

Vzhledem k jeho specifick\u00fdm fyzik\u00e1ln\u011b-chemick\u00fdm vlastnostem mus\u00ed b\u00fdt oxid dusn\u00fd pou\u017e\u00edv\u00e1n v dob\u0159e regulovan\u00e9m pr\u00e1vn\u00edm a bezpe\u010dnostn\u00edm r\u00e1mci, zejm\u00e9na aby se zabr\u00e1nilo jeho zneu\u017e\u00edv\u00e1n\u00ed v nel\u00e9ka\u0159sk\u00fdch za\u0159\u00edzen\u00edch:<\/p>\n\n\n\n

L\u00e9ka\u0159sk\u00e9 pou\u017eit\u00ed<\/strong>: Mus\u00ed b\u00fdt po\u0159\u00edzeny prost\u0159ednictv\u00edm licencovan\u00fdch zdravotnick\u00fdch za\u0159\u00edzen\u00ed a mus\u00ed spl\u0148ovat mezin\u00e1rodn\u00ed anesteziologick\u00e9 sm\u011brnice (nap\u0159. standardy kontroly koncentrace doporu\u010den\u00e9 WHO).<\/p>\n\n\n\n

Potravin\u00e1\u0159sk\u00fd pr\u016fmysl<\/strong>: Pou\u017e\u00edv\u00e1 se jako \u0161lehac\u00ed prost\u0159edek (nap\u0159. v d\u00e1vkova\u010d\u00edch smetany) a mus\u00ed spl\u0148ovat mezin\u00e1rodn\u00ed p\u0159edpisy pro potravin\u00e1\u0159sk\u00e9 p\u0159\u00eddatn\u00e9 l\u00e1tky, jako je na\u0159\u00edzen\u00ed EU \u010d. 1333\/2008.<\/p>\n\n\n\n

(2) Nebezpe\u010d\u00ed rekrea\u010dn\u00edho zneu\u017e\u00edv\u00e1n\u00ed<\/a><\/strong><\/h3>\n\n\n\n
\"\"<\/figure>\n\n\n\n

V posledn\u00edch letech n\u011bkter\u00e9 skupiny rekrea\u010dn\u011b pou\u017e\u00edvaj\u00ed oxid dusn\u00fd k vyvol\u00e1n\u00ed kr\u00e1tkodob\u00e9 euforie, co\u017e p\u0159edstavuje v\u00e1\u017en\u00e9 bezpe\u010dnostn\u00ed riziko:<\/p>\n\n\n\n

Zdravotn\u00ed rizika<\/strong>: Akutn\u00ed expozice vysok\u00fdm koncentrac\u00edm m\u016f\u017ee zp\u016fsobit hypoxii a udu\u0161en\u00ed. Dlouhodob\u00e9 zneu\u017e\u00edv\u00e1n\u00ed potla\u010duje synt\u00e9zu vitaminu B12, co\u017e m\u016f\u017ee v\u00e9st k nevratn\u00e9 perifern\u00ed neuropatii a \u00fatlumu kostn\u00ed d\u0159en\u011b - zvl\u00e1\u0161t\u011b \u0161kodliv\u00e9 pro vyv\u00edjej\u00edc\u00ed se nervov\u00fd syst\u00e9m dosp\u00edvaj\u00edc\u00edch.<\/p>\n\n\n\n

Provozn\u00ed rizika<\/strong>: Neprofesion\u00e1ln\u00ed vybaven\u00ed (nap\u0159. upraven\u00e9 nab\u00edje\u010dky kr\u00e9m\u016f nebo hor\u0161\u00ed nafukova\u010dky) zvy\u0161uje riziko \u00faniku plynu, tlakov\u00fdch nehod, omrzlin a po\u0161kozen\u00ed plic.<\/p>\n\n\n\n

\n\n\n\n

Z\u00e1v\u011br<\/strong><\/strong><\/h2>\n\n\n\n

Oxid dusn\u00fd z\u016fst\u00e1v\u00e1 v d\u011btsk\u00e9 anestezii cenn\u00fdm prost\u0159edkem, kter\u00fd vedle mo\u017en\u00fdch rizik p\u0159in\u00e1\u0161\u00ed i v\u00fdznamn\u00e9 klinick\u00e9 v\u00fdhody. P\u0159i p\u0159esn\u00e9m d\u00e1vkov\u00e1n\u00ed, bezpe\u010dn\u00e9m zach\u00e1zen\u00ed a individu\u00e1ln\u00edm posouzen\u00ed lze maximalizovat jeho terapeutick\u00e9 \u00fa\u010dinky a z\u00e1rove\u0148 minimalizovat \u0161kody.<\/p>\n\n\n\n

Krom\u011b sv\u00e9 z\u00e1sadn\u00ed role v pediatrick\u00e9 medic\u00edn\u011b je oxid dusn\u00fd \u0161iroce pou\u017e\u00edv\u00e1n tak\u00e9 jako bezpe\u010dn\u00fd a kontrolovan\u00fd hnac\u00ed plyn pro potravin\u00e1\u0159sk\u00e9 \u00fa\u010dely<\/strong>, zejm\u00e9na v syst\u00e9my nab\u00edjen\u00ed kr\u00e9m\u016f<\/strong>.<\/p>\n\n\n\n

Jako profesion\u00e1ln\u00ed v\u00fdrobce, Cream Deluxe<\/a><\/strong>\u00a0se zav\u00e1zala vyr\u00e1b\u011bt vysoce kvalitn\u00ed nab\u00edje\u010dky oxidu dusn\u00e9ho, kter\u00e9 spl\u0148uj\u00ed mezin\u00e1rodn\u00ed bezpe\u010dnostn\u00ed normy pro pou\u017eit\u00ed v potravin\u00e1\u0159sk\u00e9m pr\u016fmyslu. Na\u0161e v\u00fdrobky nab\u00edzej\u00ed \u00fa\u010dinn\u00e1 a pohodln\u00e1 \u0159e\u0161en\u00ed pro p\u0159\u00edpravu \u0161leha\u010dky a kulin\u00e1\u0159sk\u00e9 inovace.<\/p>\n\n\n\n

Chcete-li z\u00edskat dal\u0161\u00ed informace o r\u016fzn\u00fdch aplikac\u00edch oxidu dusn\u00e9ho, nev\u00e1hejte n\u00e1s kontaktovat. Dovolte v\u011bd\u011b, aby pozvedla v\u00e1\u0161 klinick\u00e1 excelence<\/strong> a kulin\u00e1\u0159sk\u00e1 kreativita<\/strong>.<\/p>\n\n\n\n

<\/p>","protected":false},"excerpt":{"rendered":"

Oxid dusn\u00fd (N\u2082O), poprv\u00e9 syntetizovan\u00fd v roce 1772 Josephem Priestleym, se za\u010dal \u0161iroce pou\u017e\u00edvat v l\u00e9ka\u0159sk\u00e9 praxi pot\u00e9, co Gardner Colton a Horace Wells v roce 1844 prok\u00e1zali jeho analgetick\u00e9 \u00fa\u010dinky. Po uveden\u00ed lahv\u00ed se stla\u010den\u00fdm plynem na trh v roce 1868 se oxid dusn\u00fd stal kl\u00ed\u010dov\u00fdm dopl\u0148kem pro zubn\u00ed sedaci, porodnickou analgezii a celkovou anestezii. Jeho [...]<\/p>","protected":false},"author":3028,"featured_media":31140,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[42],"tags":[],"class_list":["post-31312","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"acf":[],"_links":{"self":[{"href":"https:\/\/cream-deluxe.com\/cs\/wp-json\/wp\/v2\/posts\/31312","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cream-deluxe.com\/cs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cream-deluxe.com\/cs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cream-deluxe.com\/cs\/wp-json\/wp\/v2\/users\/3028"}],"replies":[{"embeddable":true,"href":"https:\/\/cream-deluxe.com\/cs\/wp-json\/wp\/v2\/comments?post=31312"}],"version-history":[{"count":1,"href":"https:\/\/cream-deluxe.com\/cs\/wp-json\/wp\/v2\/posts\/31312\/revisions"}],"predecessor-version":[{"id":31316,"href":"https:\/\/cream-deluxe.com\/cs\/wp-json\/wp\/v2\/posts\/31312\/revisions\/31316"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cream-deluxe.com\/cs\/wp-json\/wp\/v2\/media\/31140"}],"wp:attachment":[{"href":"https:\/\/cream-deluxe.com\/cs\/wp-json\/wp\/v2\/media?parent=31312"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cream-deluxe.com\/cs\/wp-json\/wp\/v2\/categories?post=31312"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cream-deluxe.com\/cs\/wp-json\/wp\/v2\/tags?post=31312"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}