References

rmt

Общая реаниматология

General Reanimatology

1813-97792411-7110

FSBI "SRIGR" RAMS

10.15360/1813-9779-2019-2-36-52

rmt-1749

Research Article

ОБЗОРЫ И КРАТКИЕ СООБЩЕНИЯ

REVIEWS & SHORT COMMUNICATIONS

Анестезиологическое обеспечение пациентов с диссекцией аорты типа А

Anesthetic Management of Patients with a Type A Aortic Dissection

Силвэй

Г.

Silvay

Джорж Силвэй, Отделение анестезиологии, периоперационного лечения и лечения боли

Площадь Густава Л. Леви, д. 1, Нью-Йорк, NY 10029

George Silvay

Department of Anesthesiology, Perioperative and Pain Management,

1 Gustave L. Levy Pl, New York, NY 10029, USA

george.silvay@msnyuhealth.org

Хромава

М.

Khromava

Отделение анестезиологии, периоперационного лечения и лечения боли

Площадь Густава Л. Леви, д. 1, Нью-Йорк, NY 10029

Maryna Khromava

Department of Anesthesiology, Perioperative and Pain Management,

1 Gustave L. Levy Pl, New York, NY 10029, USA

Вайнер

М.

Weiner

Отделение анестезиологии, периоперационного лечения и лечения боли

Площадь Густава Л. Леви, д. 1, Нью-Йорк, NY 10029

Menachem Weiner

Department of Anesthesiology, Perioperative and Pain Management,

1 Gustave L. Levy Pl, New York, NY 10029, USA

Аугустидес

Дж. Г.

Augoustides

J. G.

Отделение сердечно-сосудистой и торакальной хирургии, отделение анестезиологии и реаниматологии

Сивик Центр 3400, Филадельфия, PA 19104

John G. Augoustides

Department of Anesthesiology and Critical Care

3400 Civic Center Blvd, Philadelphia, PA 19104, US

Кастилло

Х. Г.

Castillo

J. G.

Отделение кардиохирургии

Площадь Густава Л. Леви, д. 1, Нью-Йорк, NY 10029

Javier G. Castillo

Department of Cardiac Surgery

1 Gustave L. Levy Pl, New York, NY 10029, US

Медицинская Школа Айкана при Маунт-СинайСоединённые Штаты АмерикиIcahn School of Medicine at Mount SinaiUnited States

Медицинская школа Перельмана, Пенсильванский университетСоединённые Штаты АмерикиPerelman School of Medicine, University of Pennsylvania, Cardiovascular and Thoracic SectionUnited States

2019

30042019

1523652

2019

Силвэй Г., Хромава М., Вайнер М., Аугустидес Д.Г., Кастилло Х.Г.

Silvay G., Khromava M., Weiner M., Augoustides J.G., Castillo J.G.

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/1749

«Этот тип хирургического вмешательства не предназначен для одного хирурга … В операционной важна, несомненно, команда, в которой, помимо ассистентов-хирургов и хирургических сестер, анестезиолог играет основополагающую роль, что заслуживает особой награды.» Рассел К. Брок, 1949

Глубокая гипотермическая остановка кровообращения (ГГОК) для хирургической коррекции дуги аорты у взрослых все еще ассоциируется с высоким уровнем летальности и осложнений. Кроме того, имеются существенные расхождения в выполнении этой сложной периоперативной техники. Вариации в практике ГГОК не были адекватно охарактеризованы и могут предоставить множество терапевтических возможностей для улучшения исхода и снижения риска процедуры. Недавно была создана Международная группа по исследованию дуги аорты, задачей которой является изучение оптимальной нейропротекции во время реконструкции грудного отдела аорты.

«It is type of surgery that is not for the lone operator… Team is of course essential in the operating theater, where in addition to the surgical and nursing assistants, the anesthesiologist plays a part of fundamental importance which deserves a special tribute.» Russel C. Brock, 1949

Deep hypothermic circulatory arrest (DHCA) for the adult aortic arch repair is still associated with significant mortality and morbidity. Furthermore, there is significant variation in the conduct of this complex perioperative technique. The variation in the practice of DHCA has not been adequately characterized and may offer multiple therapeutic opportunities for outcome enhancement and reduction of procedural risk. The International Aortic Arch Study Group (IAASSG) was recently organized to investigate an optimal neuroprotection during the thoracic aortic reconstruction.

расслоение аортыанестезиямониторингглубокая гипотермическая остановка кровообращениянейропротекция

aortic dissectionanesthesiamonitoringdeep hypothermic circulatory arrestneuroprotection

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