Научно-практический журнал
«Клиническая физиология кровообращения»

Главный редактор

Лео Антонович Бокерия, доктор медицинских наук, профессор, академик РАН и РАМН, президент ФГБУ «НМИЦ ССХ им. А.Н. Бакулева» МЗ РФ


Стратегия инфузионной терапии при операциях аортокоронарного шунтирования без искусственного кровообращения

Авторы: Хинчагов Д.Я., Рыбка М.М.

Организация:
ФГБУ «Национальный медицинский исследовательский центр сердечно-сосудистой хирургии им. А.Н. Бакулева» Минздрава России, Москва, Российская Федерация

Для корреспонденции: Сведения доступны для зарегистрированных пользователей.

Раздел: Обзоры

DOI: https://doi.org/10.24022/1814-6910-2022-19-3-201-210

УДК: 616.132.2-089

Библиографическая ссылка: Клиническая физиология кровообращения. 2022; 3 (19): 201-210

Цитировать как: Хинчагов Д.Я., Рыбка М.М. . Стратегия инфузионной терапии при операциях аортокоронарного шунтирования без искусственного кровообращения. Клиническая физиология кровообращения. 2022; 3 (19): 201-210. DOI: 10.24022/1814-6910-2022-19-3-201-210

Ключевые слова: аортокоронарное шунтирование без искусственного кровообращения, стратегия инфузионной терапии

Поступила / Принята к печати:  08.02.2022 / 03.03.2022

Полнотекстовая версия:  

Аннотация

При операциях аортокоронарного шунтирования без применения искусственного кровообращения (АКШ без ИК) инфузионная терапия является важной и неотъемлемой частью анестезиологического пособия. Проводимая инфузионная терапия должна обеспечить стабильность гемодинамики, не оказывая отрицательного влияния на оксигенирующую функцию легких и на частоту развития органной дисфункции. Решение проблем волемических нарушений позволит повысить безопасность пациента при операциях АКШ без ИК. В настоящее время существуют 3 стратегии инфузионной терапии: «либеральная», «рестриктивная» и «целенаправленная». Распространенные в последнее время «рестриктивная» и «целенаправленная» стратегии инфузионной терапии доказали свое преимущество при операциях повышенного риска сложности в сравнении с «либеральной» инфузионной терапией. В данной обзорной статье освещены современные представления о стратегиях инфузионной терапии при операциях у взрослых пациентов, описаны и проанализированы существующие в настоящее время исследования, посвященные стратегиям инфузионной терапии при операциях АКШ без ИК.

Литература

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****
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Об авторах

  • Хинчагов Джумбер Яковлевич, канд. мед. наук, врач – анестезиолог-реаниматолог; ORCID
  • Рыбка Михаил Михайлович, д-р мед. наук, руководитель отделения анестезиологии-реанимации и интенсивной терапии; ORCID

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