Периоперационное ведение пациентов с психическими заболеваниями. Методические рекомендации Общероссийской общественной организации «Федерация анестезиологов и реаниматологов», второй пересмотр
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МЕТОДИЧЕСКИЕ РЕКОМЕНДАЦИИ

Периоперационное ведение пациентов с психическими заболеваниями. Методические рекомендации Общероссийской общественной организации «Федерация анестезиологов и реаниматологов», второй пересмотр

https://doi.org/10.21320/1818-474X-2021-1-19-47
Опубликован 05.03.2021
Игорь Борисович Заболотских
ФГБОУ ВО «Кубанский государственный медицинский университет» Минздрава России, Краснодар, Россия; ГБУЗ «Краевая клиническая больница № 2» Министерства здравоохранения Краснодарского края, Краснодар, Россия
https://orcid.org/0000-0002-3623-2546
А.И. Грицан
ФГБОУ ВО «Красноярский государственный медицинский университет имени профессора В.Ф. Войно-Ясенецкого» Минздрава России, Красноярск, Россия
https://orcid.org/0000-0002-0500-2887
К.М. Лебединский
ФГБОУ ВО «Северо-Западный государственный медицинский университет имени И.И. Мечникова» Минздрава России, Санкт-Петербург, Россия; НИИ общей реаниматологии имени В.А. Неговского ФНКЦ реаниматологии и реабилитологии Минобрнауки России, Москва, Россия
https://orcid.org/0000-0002-5752-4812
В.В. Мясникова
ГБУЗ «Краевая клиническая больница № 2» Министерства здравоохранения Краснодарского края, Краснодар, Россия; ФГАУ НМИЦ МНТК Микрохирургия глаза им. акад. С.Н. Федорова Минздрава России, Краснодар, Россия
А.Е. Муронов
ГБУЗ «Краевая клиническая больница № 2» Министерства здравоохранения Краснодарского края, Краснодар, Россия; ФГБОУ ВО «Красноярский государственный медицинский университет имени профессора В.Ф. Войно-Ясенецкого» Минздрава России, Красноярск, Россия
https://orcid.org/0000-0002-5156-4469
К.Г. Шаповалов
ФГБОУ ВО «Читинская государственная медицинская академия» Минздрава России, Чита, Россия
https://orcid.org/0000-0002-3485-5176
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Ключевые слова

психические заболевания
депрессия
биполярное расстройство
шизофрения
тревожные расстройства
анестезия
интенсивная терапия
периоперационный период
антидепрессанты
нормотимики
антипсихотические препараты

Как цитировать

Заболотских И.Б., Грицан А.И., Лебединский К.М., Мясникова В.В., Муронов А.Е., Шаповалов К.Г. Периоперационное ведение пациентов с психическими заболеваниями. Методические рекомендации Общероссийской общественной организации «Федерация анестезиологов и реаниматологов», второй пересмотр. Вестник интенсивной терапии имени А.И. Салтанова. 2021;(1):19–47. doi:10.21320/1818-474X-2021-1-19-47.
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Аннотация

Психические расстройства у лиц старше 18 лет достаточно распространены и представлены довольно обширным списком заболеваний. У пациентов с подобной патологией также возникает необходимость проведения вмешательств и манипуляций в условиях анестезии. В статье представлены принципы ведения периоперационного периода у больных с наиболее распространенными психическими заболеваниями — аффективные расстройства, шизофрения, биполярное расстройство, тревожные расстройства, поведенческие синдромы, связанные с физиологическими нарушениями (булимия, анорексия). Отражены профилактика рецидивов психического заболевания и синдрома отмены, профилактика инцидентов, связанных с приемом препаратов, применяемых для терапии психопатологии.
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