Анестезиологическое обеспечение реконструктивных операций при стено-зирующих и деформирующих поражениях сонных артерий
В 10% наблюдений применение антикоагуляционной терапии гепарином в дозе 2500 ед при каротидной эндартерэктомии является неэффективным, и для безопасности пациента необходим обязательный интраоперационный динамический лабораторный контроль свертывающей системы крови. Оптимальным интраоперационным тестом эффективности гепаринотерапии, требующим минимального времени для получения результатов… Читать ещё >
Содержание
- Список сокращений
Глава 1. Анестезиологическое обеспечение реконструктивных 13 операций при стенозирующих и деформирующих поражениях сонных артерий. Обзор литературы
Глава 2. Характеристика клинического материала и методов 74 исследования
2.1 .Характеристика клинического материала
2.2. Виды анестезии
2.3. Интраоперационный мониторинг
Глава 3. Сравнительный анализ возраста, показателей гемодинамики, 109 инфузионной, фармакологической терапии при различных видах анестезии и особенности их течения
3.1. Сравнение возраста больных, оценка их соматического 109 состояния, анестезиологического риска и риска развития периоперационных осложнений при различных видах анестезии
3.2. Сравнительный анализ гемодинамических показателей, 112 инфузионной терапии и применения вазоактивных препаратов при различных видах анестезии
3.3. Сравнение фармакологической нагрузки и особенностей 125 интраоперационного течения при различных видах анестезии
Глава 4. Анализ периоперационных осложнений и летальности
4.1. Анализ церебральных ишемических осложнений
4.2. Синдром гиперперфузии
4.3. Сердечнососудистые осложнения.
4.4. Компрессия п. Vagus ч
4.5. Редкие осложнения интраоперационного периода
4.6. Анализ летальности и тяжелых осложнений
Глава 5. Влияние внутривенного введения гепарина на основные 202 параметры системы гемостаза у больных в ходе реконструктивных операций на сонных артериях
Глава 6. Анализ показателей и сравнение информативности 220 различных методов нейромониторинга при КЭАЭ
6.1. Оценка отдельных методов нейромониторинга
6.2. Сравнение информативности различных методов 262 нейромониторинга
6.3. Установка временного внутрипросветного шунта на основе 272 нейромониторинга
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