Анестезия при первичном эндопротезировании тазобедренного и коленного суставов: эволюция взглядов

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Аннотация

Операции тотального эндопротезирования тазобедренного (ТЭТС) и коленного суставов (ТЭКС) являются одними из наиболее часто выполняемых хирургических вмешательств. В то же время до сих пор нет единого мнения в отношении выбора оптимального метода анестезии при этих операциях. В обзоре анализируются подходы к анестезиологическому обеспечению ТЭТС и ТЭКС в различных странах и различных клиниках одной и той же страны. Представлены тенденции постепенного увеличения доли методик нейроаксиальной анестезии в структуре анестезии при ТЭТС и ТЭКС. На основании ряда крупных популяционных исследований даются анализ влияния метода анестезии на течение раннего послеоперационного периода и результаты хирургического лечения в целом. Показана позитивная роль эпидуральной и спинальной анестезии, в сравнении с общей анестезией, в комплексе анестезиологического обеспечения операций на суставах нижних конечностей.

Об авторах

Алексей Михайлович Овечкин

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский университет)»

Автор, ответственный за переписку.
Email: ovechkin_alexei@mail.ru
ORCID iD: 0000-0002-3453-8699

д. м. н., профессор кафедры анестезиологии и реаниматологии

Россия, 119435, Москва, ул. Б. Пироговская 2, стр. 4.

М. Е. Политов

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский университет)»

Email: ovechkin_alexei@mail.ru
ORCID iD: 0000-0003-0623-4927
Россия, 119146, Москва

Н. В. Панов

ГБУЗ ГКБ «Городская клиничеcкая больница №67 им. Л.А. Ворохобова» Департамента здравоохранения г. Москвы

Email: ovechkin_alexei@mail.ru
ORCID iD: 0000-0002-1064-733X
Россия, 123423, Москва

С. В. Сокологорский

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский университет)»

Email: ovechkin_alexei@mail.ru
ORCID iD: 0000-0001-6805-9744
Россия, 119146, Москва

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