rmtОбщая реаниматологияGeneral Reanimatology1813-97792411-7110FSBI "SRIGR" RAMS10.15360/1813-9779-2012-4-126rmt-1394Research ArticleФУНДАМЕНТАЛЬНЫЕ ОСНОВЫ АНЕСТЕЗИОЛОГИИ-РЕАНИМАТОЛОГИИFUNDAMENTALS OF ANESTHESIOLOGY AND REANIMATOLOGYОбщая анестезия при хирургическом лечении ишемической болезни сердцаGeneral Anesthesia in the Surgical Treatment of Coronary Heart DiseaseКарпунН. А.KarpunN. A.karpun@rambler.ruМорозВ. В.MorozV. V.20122606201484Том VIII № 4 2012 г.126126Copyright © Карпун Н.А., Мороз В.В., 20122012Карпун Н.А., Мороз В.В.Karpun N.A., Moroz V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.reanimatology.com/rmt/article/view/1394

Статья посвящена проблеме анестезиологического обеспечения хирургической коррекции коронарного кровотока. В основу положены результаты исследований, проведенных в НИИ общей реаниматологии им. В. А. Неговского РАМН, целью которых явилось улучшение результатов хирургического лечения больных различными формами ИБС за счет оптимизации анестезиологического обеспечения операций на открытом сердце. 367

The paper deals with the problem of anesthetic maintenance during surgical correction of coronary blood flow. The basis for this is the results of the investigations conducted at the V. A. Negovsky Research Institute of General Reanimatology, the objective of which was to improve the results of surgical treatment in patients with different forms of coronary heart disease (CHD), by optimizing the anesthetic maintenance of open heart surgery. Clinical and special examinations were made in 367 patients who had undergone surgical treatment (aortocoronary bypass surgery; formation of a mammary coronary anastomosis; resection and plastic repair of left ventricular aneurysms; thrombectomy from the heart chambers) for CHD and its complications. The main methodological approach to this study is to personalize intensive therapy and general anesthesia, which are relied on both evidence-based medicine and an individual pathophysiological approach. The paper details how to choose the basic mode of general anesthesia depending on the form of CHD and myocardial contractile function. Furthermore, the authors propose methods for optimizing the perioperative period: postoperative analgesia; correction of the aggregate state of blood; operative hemodilution; prevention and correction of critically reduced blood oxygen capacity 

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The authors declare that there are no conflicts of interest present.