rmtОбщая реаниматологияGeneral Reanimatology1813-97792411-7110FSBI "SRIGR" RAMS10.15360/1813-9779-2018-6-95-113rmt-1728Research ArticleОБЗОРЫ И КРАТКИЕ СООБЩЕНИЯREVIEWS & SHORT COMMUNICATIONSВыбор метода анестезии при каротидной эндартерэктомии (обзор)The Choice of the Type of Anesthesia for Carotid Endarterectomy (Review)СимоновО. В.SimonovOleg V.

115516, Москва, ул. Бакинская, д. 26

26 Bakinskya Str., 115516 Moscow

dr.sov@mail.ruТюринИ. Н.TyurinIgor N.

115516, Москва, ул. Бакинская, д. 26

117997, г. Москва, ГСП-7, ул. Островитянова, д. 1

26 Bakinskya Str., 115516 Moscow;

1 Ostrovityanov Str., 117997 Moscow

ПрямиковА. Д.PryamikovAlexander D.

115516, Москва, ул. Бакинская, д. 26

117997, г. Москва, ГСП-7, ул. Островитянова, д. 1

26 Bakinskya Str., 115516 Moscow;

1 Ostrovityanov Str., 117997 Moscow

МиронковА. Б.MironkovAlexey B.

115516, Москва, ул. Бакинская, д. 26

117997, г. Москва, ГСП-7, ул. Островитянова, д. 1

26 Bakinskya Str., 115516 Moscow;

1 Ostrovityanov Str., 117997 Moscow

ГКБ им. В. М. Буянова Департамента здравоохранения города МосквыРоссияV. M. Buyanov City Clinical Hospital, Moscow Department of HealthcareRussian FederationГКБ им. В. М. Буянова Департамента здравоохранения города Москвы; Российский национальный исследовательский медицинский университет им. Н.И. Пирогова, факультет дополнительного профессионального образованияРоссияV. M. Buyanov City Clinical Hospital, Moscow Department of Healthcare; Department of Additional Professional Education, N. I. Pirogov Russian National Medical Research University, Ministry of Health of RussiaRussian Federation20182712201814695113Copyright © Симонов О.В., Тюрин И.Н., Прямиков А.Д., Миронков А.Б., 20182018Симонов О.В., Тюрин И.Н., Прямиков А.Д., Миронков А.Б.Simonov O.V., Tyurin I.N., Pryamikov A.D., Mironkov A.B.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/1728

В обзоре обобщен мировой опыт использования различных видов анестезии при хирургическом лечении поражения сонных артерий. Анестезиологическое обеспечение операций на каротидном бассейне включает в себя различные виды общей и комбинированной анестезии. Отдельным направлением в хирургии сонных артерий является регионарная анестезия. В работе представлены преимущества и недостатки каждого из методов обезболивания. В современной литературе продемонстрировано превосходство регионарной анестезии по следующим параметрам: экономическая эффективность, редкость использования временного внутреннего шунта, возможность постоянного контроля за неврологическим статусом пациента в течение всей операции, снижение частоты неврологических и кардиальных осложнений. Подробно описаны осложнения регионарной анестезии и способы их коррекции.До сих пор не существует единого мнения относительно выбора оптимального вида анестезии при выполнении каротидной эндартерэктомии, что говорит о необходимости проведения дальнейших крупномасштабных рандомизированных исследований.

The article summarizes the international experience of using different types of anesthesia for the surgical treatment of carotid artery lesions. The anesthesiology support of surgery on the carotid basin includes general and combined anesthesia of various types. The regional anesthesia is a separate field in the carotid surgery. The paper presents the advantages and disadvantages of each anesthetic technique. The recent publications show the superiority of regional anesthesia in terms of its cost-effectiveness, less frequent use of temporary intraluminal shunt, the possibility to constant monitoring of patient’s neurological status throughout the operation, and lower incidence of neurologic and cardiac complications. Complications of the regional anesthesia and the methods of their correction are described in detail. There is still no consensus about the choice of the optimal type of anesthesia for carotid endarterectomy, hence further large-scale randomized trials are needed.

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