МАНЕВР РЕКРУТМЕНТА В УСЛОВИЯХ ОБЩЕЙ АНЕСТЕЗИИ ПРИ АБДОМИНАЛЬНЫХ ОПЕРАЦИЯХ
https://doi.org/10.21292/2078-5658-2016-13-6-72-80
Аннотация
В обзоре рассматривается применение рекрутмент-маневра (РМ) в условиях общей анестезии при абдоминальных операциях у пациентов с исходно не поврежденными легкими. Цель: выявление оптимальных способов выполнения РМ, определение необходимых временных характеристик РМ, а также групп пациентов, применение РМ у которых будет особенно полезно. Заключение. Применение РМ в совокупности с другими элементами протективной искусственной вентиляции легких во время общей анестезии у пациентов с высоким риском респираторных осложнений является эффективным и безопасным механизмом, позволяющим предупредить развитие респираторных осложнений. У пациентов с высоким анестезиологическим риском пошаговый способ выполнения РМ позволяет предотвратить появление неблагоприятных гемодинамических инцидентов во время выполнения РМ.
Об авторах
И. Б. ЗаболотскихРоссия
доктор медицинских наук, профессор, заведующий кафедрой анестезиологии, реаниматологии и трансфузиологии ФПК и ППС
Р. В. Вейлер
Россия
аспирант кафедры анестезиологии, реаниматологии и трансфузиологии ФПК и ППС
Н. В. Трембач
Россия
кандидат медицинских наук, ассистент кафедры анестезиологии, реаниматологии и трансфузиологии ФПК и ППС
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Рецензия
Для цитирования:
Заболотских И.Б., Вейлер Р.В., Трембач Н.В. МАНЕВР РЕКРУТМЕНТА В УСЛОВИЯХ ОБЩЕЙ АНЕСТЕЗИИ ПРИ АБДОМИНАЛЬНЫХ ОПЕРАЦИЯХ. Вестник анестезиологии и реаниматологии. 2016;13(6):72-80. https://doi.org/10.21292/2078-5658-2016-13-6-72-80
For citation:
Zabolotskikh I.B., Veyler R.V., Trembach N.V. RECRUITMENT MANEUVER UNDER GENERAL ANESTHESIA IN ABDOMINAL SURGERY. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2016;13(6):72-80. (In Russ.) https://doi.org/10.21292/2078-5658-2016-13-6-72-80