General Anesthesia in the Surgical Treatment of Coronary Heart Disease
The paper deals with the problem of anesthetic maintenance during surgical correction of coronary blood flow. The basis for this is the results of the investigations conducted at the V. A. Negovsky Research Institute of General Reanimatology, the objective of which was to improve the results of surg...
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| Format: | Article |
| Language: | English |
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Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
2012-08-01
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| Series: | Общая реаниматология |
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| Online Access: | https://www.reanimatology.com/rmt/article/view/1394 |
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| author | N. A. Karpun V. V. Moroz |
| author_facet | N. A. Karpun V. V. Moroz |
| author_sort | N. A. Karpun |
| collection | DOAJ |
| description | The paper deals with the problem of anesthetic maintenance during surgical correction of coronary blood flow. The basis for this is the results of the investigations conducted at the V. A. Negovsky Research Institute of General Reanimatology, the objective of which was to improve the results of surgical treatment in patients with different forms of coronary heart disease (CHD), by optimizing the anesthetic maintenance of open heart surgery. Clinical and special examinations were made in 367 patients who had undergone surgical treatment (aortocoronary bypass surgery; formation of a mammary coronary anastomosis; resection and plastic repair of left ventricular aneurysms; thrombectomy from the heart chambers) for CHD and its complications. The main methodological approach to this study is to personalize intensive therapy and general anesthesia, which are relied on both evidence-based medicine and an individual pathophysiological approach. The paper details how to choose the basic mode of general anesthesia depending on the form of CHD and myocardial contractile function. Furthermore, the authors propose methods for optimizing the perioperative period: postoperative analgesia; correction of the aggregate state of blood; operative hemodilution; prevention and correction of critically reduced blood oxygen capacity |
| format | Article |
| id | doaj-art-5efa2e334ca94987a7e66ad67737acd7 |
| institution | DOAJ |
| issn | 1813-9779 2411-7110 |
| language | English |
| publishDate | 2012-08-01 |
| publisher | Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia |
| record_format | Article |
| series | Общая реаниматология |
| spelling | doaj-art-5efa2e334ca94987a7e66ad67737acd72025-08-20T02:59:35ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102012-08-018410.15360/1813-9779-2012-4-1261394General Anesthesia in the Surgical Treatment of Coronary Heart DiseaseN. A. KarpunV. V. MorozThe paper deals with the problem of anesthetic maintenance during surgical correction of coronary blood flow. The basis for this is the results of the investigations conducted at the V. A. Negovsky Research Institute of General Reanimatology, the objective of which was to improve the results of surgical treatment in patients with different forms of coronary heart disease (CHD), by optimizing the anesthetic maintenance of open heart surgery. Clinical and special examinations were made in 367 patients who had undergone surgical treatment (aortocoronary bypass surgery; formation of a mammary coronary anastomosis; resection and plastic repair of left ventricular aneurysms; thrombectomy from the heart chambers) for CHD and its complications. The main methodological approach to this study is to personalize intensive therapy and general anesthesia, which are relied on both evidence-based medicine and an individual pathophysiological approach. The paper details how to choose the basic mode of general anesthesia depending on the form of CHD and myocardial contractile function. Furthermore, the authors propose methods for optimizing the perioperative period: postoperative analgesia; correction of the aggregate state of blood; operative hemodilution; prevention and correction of critically reduced blood oxygen capacityhttps://www.reanimatology.com/rmt/article/view/1394general anesthesiasurgical myocardial revascularizationinhalation anesthesiaepidural anesthesiasevoranehemodilutionperfluorane |
| spellingShingle | N. A. Karpun V. V. Moroz General Anesthesia in the Surgical Treatment of Coronary Heart Disease Общая реаниматология general anesthesia surgical myocardial revascularization inhalation anesthesia epidural anesthesia sevorane hemodilution perfluorane |
| title | General Anesthesia in the Surgical Treatment of Coronary Heart Disease |
| title_full | General Anesthesia in the Surgical Treatment of Coronary Heart Disease |
| title_fullStr | General Anesthesia in the Surgical Treatment of Coronary Heart Disease |
| title_full_unstemmed | General Anesthesia in the Surgical Treatment of Coronary Heart Disease |
| title_short | General Anesthesia in the Surgical Treatment of Coronary Heart Disease |
| title_sort | general anesthesia in the surgical treatment of coronary heart disease |
| topic | general anesthesia surgical myocardial revascularization inhalation anesthesia epidural anesthesia sevorane hemodilution perfluorane |
| url | https://www.reanimatology.com/rmt/article/view/1394 |
| work_keys_str_mv | AT nakarpun generalanesthesiainthesurgicaltreatmentofcoronaryheartdisease AT vvmoroz generalanesthesiainthesurgicaltreatmentofcoronaryheartdisease |