ИНФУЗИОННАЯ ТЕРАПИЯ В ПЕРИОПЕРАЦИОННОМ ПЕРИОДЕ

Цель: ознакомить российских анестезиологов с последними данными доказательной медицины в отношении периоперационной инфузионной терапии. Правильный выбор стратегии и тактики инфузионной терапии – непременная составляющая успешного ведения периоперационного периода. И именно здесь в последние годы произошли значительные изменения. Сначала появилась и стала стремительно набирать сторонников концепция рестриктивной (ограничительной) тактики инфузионной терапии. Затем возникли обоснованные сомнения в целесообразности и безопасности применения растворов ГЭК. И то и другое затрагивает основополагающие принципы проведения инфузионной терапии, и произошедшие изменения, конечно же, нуждаются в осмыслении с позиций доказательной медицины. Этим озаботились британские и германские эксперты, выпустившие в 2011 и 2016 г. соответствующие руководства. Сравнение и анализ возможностей имплементации в России содержащихся в них рекомендаций и являются предметом рассмотрения настоящей публикации. Вывод. Необходимо имплементировать международные рекомендации по периоперационной инфузионной терапии с поправкой на российские руководящие документы в отделениях анестезиологии, реанимации и интенсивной терапии.

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