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Анестезиологическое обеспечение пациентов с диссекцией аорты типа А

https://doi.org/10.15360/1813-9779-2019-2-36-52

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Аннотация

«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.

Об авторах

Г. Силвэй
Медицинская Школа Айкана при Маунт-Синай
Соединённые Штаты Америки

Джорж Силвэй, Отделение анестезиологии, периоперационного лечения и лечения боли 

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

 



М. Хромава
Медицинская Школа Айкана при Маунт-Синай
Соединённые Штаты Америки

Отделение анестезиологии, периоперационного лечения и лечения боли 

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

 


М. Вайнер
Медицинская Школа Айкана при Маунт-Синай
Соединённые Штаты Америки

Отделение анестезиологии, периоперационного лечения и лечения боли

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



Дж. Г. Аугустидес
Медицинская школа Перельмана, Пенсильванский университет
Соединённые Штаты Америки

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

Сивик Центр 3400, Филадельфия, PA 19104



Х. Г. Кастилло
Медицинская Школа Айкана при Маунт-Синай
Соединённые Штаты Америки

Отделение кардиохирургии

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



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Для цитирования:


Силвэй Г., Хромава М., Вайнер М., Аугустидес Д.Г., Кастилло Х.Г. Анестезиологическое обеспечение пациентов с диссекцией аорты типа А. Общая реаниматология. 2019;15(2):36-52. https://doi.org/10.15360/1813-9779-2019-2-36-52

For citation:


Silvay G., Khromava M., Weiner M., Augoustides J.G., Castillo J.G. Anesthetic Management of Patients with a Type A Aortic Dissection. General Reanimatology. 2019;15(2):36-52. (In Russ.) https://doi.org/10.15360/1813-9779-2019-2-36-52

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ISSN 1813-9779 (Print)
ISSN 2411-7110 (Online)