Современные подходы к выбору метода регионарной анестезии при видео-ассистированных торакоскопических вмешательствах

Цель. Провести анализ литературы на тему современных подходов к выбору метода регионарной анестезии при торакоскопических оперативных вмешательствах.

Материалы и методы. Произведен обзор наиболее распространенных подходов к выбору метода регионарной анестезии при торакоскопических оперативных вмешательствах.

Результаты. Проведенный анализ литературы показал, что на сегодняшний день в практике врача – анестезиолога-реаниматолога нет единого стандарта обезболивания пациентов во время и после торакоскопических операций, однако использование методов регионарной анестезии позволяет увеличить положительные эффекты малоинвазивных методов, к которым относятся видео-ассистированные торакоскопические вмешательства (ВАТС). Необходимо проведение дальнейших исследований, сравнивающих эффективность методов региональной анестезии в торакальной хирургии.

Заключение. На данный момент собранные в мировой специализированной литературе доказательства подтверждают, что торакальная эпидуральная анальгезия (ТЭА), паравертебральная блокада, блокада пространства мышцы, выпрямляющей позвоночник, и блокада передней зубчатой мышцы могут считаться сравнимо эффективными методами регионарной анестезии при ВАТС. Между тем, качественные сравнительные клинические работы, позволяющие подобрать наиболее эффективный и безопасный метод регионарной анестезии, ограничены.

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