ПРОТОКОЛ АНЕСТЕЗИИ ПРИ ОБШИРНЫХ РЕЗЕКЦИЯХ ПЕЧЕНИ: СМЕНА ПАРАДИГМЫ ПОД ВЛИЯНИЕМ ОПЫТА ТРАНСПЛАНТАЦИИ ПЕЧЕНИ (ОБЗОР ЛИТЕРАТУРЫ)
https://doi.org/10.16931/995-5464.2016239-51
Аннотация
Представлен обзор современной актуальной литературы, включающий доказательные исследования, методические рекомендации, стандарты, руководства, посвященные анестезиологическому обеспечению расширенных резекций печени. На основании собранного материала проведен анализ существующих алгоритмов анестезии. Отмечены существенные различия подходов к анестезиологическому обеспечению, которые преимущественно обусловлены проблемой массивной интраоперационной кровопотери. Расширяющаяся практика трансплантации печени вносит существенные коррективы в проведение анестезии при этих оперативных вмешательствах. С учетом накопленного опыта обширных резекций и трансплантации печени выбран оптимальный алгоритм анестезиологического обеспечения.
Ключевые слова
Об авторах
В. А. Бельский
ФБУЗ “Приволжский окружной медицинский центр ” ФМБА России
Россия
Россия
Бельский Владислав Александрович — главный специалист по анестезиологии-реаниматологии
Для корреспонденции: Бельский Владислав Александрович — 603109, г. Нижний Новгород, ул. Ильинская, д. 14
А. М. Мольков
ФБУЗ “Приволжский окружной медицинский центр ” ФМБА России
Россия
Мольков Александр Михайлович — врач анестезиолог-реаниматолог отделения анестезиологии — реанимации
Россия
Мольков Александр Михайлович — врач анестезиолог-реаниматолог отделения анестезиологии — реанимации
И. А. Уткин
ФБУЗ “Приволжский окружной медицинский центр ” ФМБА России
Россия
Уткин Иван Александрович — врач анестезиолог-реаниматолог отделения анестезиологии — реанимации
Россия
Уткин Иван Александрович — врач анестезиолог-реаниматолог отделения анестезиологии — реанимации
И. А. Рабосина
ФБУЗ “Приволжский окружной медицинский центр ” ФМБА России
Россия
Рабосина Ирина Анатольевна — врач анестезиолог-реаниматолог отделения анестезиологии — реанимации
Россия
Рабосина Ирина Анатольевна — врач анестезиолог-реаниматолог отделения анестезиологии — реанимации
В. Е. Загайнов
ФБУЗ “Приволжский окружной медицинский центр ” ФМБА России;
ГБОУ ВПО “Нижегородская государственная медицинская академия”Минздрава России
Россия
Загайнов Владимир Евгеньевич — доктор мед. наук, главный специалист по хирургии ФБУЗ ПОМЦ ФМБА России, заведующий кафедрой хирургических болезней ГБОУ ВПО НижГМА
Россия
Загайнов Владимир Евгеньевич — доктор мед. наук, главный специалист по хирургии ФБУЗ ПОМЦ ФМБА России, заведующий кафедрой хирургических болезней ГБОУ ВПО НижГМА
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Рецензия
Для цитирования:
Бельский В.А., Мольков А.М., Уткин И.А., Рабосина И.А., Загайнов В.Е. ПРОТОКОЛ АНЕСТЕЗИИ ПРИ ОБШИРНЫХ РЕЗЕКЦИЯХ ПЕЧЕНИ: СМЕНА ПАРАДИГМЫ ПОД ВЛИЯНИЕМ ОПЫТА ТРАНСПЛАНТАЦИИ ПЕЧЕНИ (ОБЗОР ЛИТЕРАТУРЫ). Анналы хирургической гепатологии. 2016;21(2):39-51. https://doi.org/10.16931/995-5464.2016239-51
For citation:
Belskiy V.A., Molkov A.M., Utkin I.A., Rabosina I.A., Zagainov V.E. ANAESTHESIA PROTOCOL TO EXTENDED LIVER RESECTIONS: A PARADIGM SHIFT UNDER THE INFLUENCE OF THE EXPERIENCE OF LIVER TRANSPLANTATION (LITERATURE REVIEW). Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2016;21(2):39-51. (In Russ.) https://doi.org/10.16931/995-5464.2016239-51
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