Обеспечение проходимости верхних дыхательных путей в стационаре. Методические рекомендации Общероссийской общественной организации «Федерация анестезиологов и реаниматологов» (третий пересмотр)
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МЕТОДИЧЕСКИЕ РЕКОМЕНДАЦИИ

Обеспечение проходимости верхних дыхательных путей в стационаре. Методические рекомендации Общероссийской общественной организации «Федерация анестезиологов и реаниматологов» (третий пересмотр)

https://doi.org/10.21320/1818-474X-2021-2-17-81
Опубликован 02.06.2021
Александр Александрович Андреенко
ФГБВОУ ВО «Военно-медицинская академия им. С.М. Кирова» МО РФ, Санкт-Петербург, Россия
https://orcid.org/0000-0002-5542-9280
И.В. Братищев
ГБУЗ «НИИ СП им. Н.В. Склифосовского» ДЗМ, Москва, Россия
https://orcid.org/0000-0002-1050-1867
С.В. Гаврилов
ФГБУ КБ № 1 УДП РФ, Москва, Россия
https://orcid.org/0000-0002-0523-4258
А.Ю. Зайцев
ГНЦ РФ ФГБНУ «РНЦХ им. акад. Б.В. Петровского», Москва, Россия
https://orcid.org/0000-0001-9425-202X
В.Ю. Пиковский
ФГБУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова», Москва, Россия
https://orcid.org/0000-0002-6879-5378
В.В. Стадлер
ФГБОУ ВО «Самарский государственный медицинский университет» Минздрава России, Самара, Россия
https://orcid.org/0000-0002-5134-0668
В.И. Стамов
ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» МЗ РФ, Москва, Россия
https://orcid.org/0000-0001-8524-6840
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Ключевые слова

обеспечение проходимости верхних дыхательных путей
трудные дыхательные пути
интубация трахеи
трудная масочная вентиляция
трудная ларингоскопия
трудная интубация
надгортанные воздуховоды
крикотиреотомия

Как цитировать

Андреенко А.А., Братищев И.В., Гаврилов С.В., Зайцев А.Ю., Пиковский В.Ю., Стадлер В.В., Стамов В.И. Обеспечение проходимости верхних дыхательных путей в стационаре. Методические рекомендации Общероссийской общественной организации «Федерация анестезиологов и реаниматологов» (третий пересмотр). Вестник интенсивной терапии имени А.И. Салтанова. 2021;(2):17–81. doi:10.21320/1818-474X-2021-2-17-81.
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Аннотация

В обзоре представлены методические рекомендации Федерации анестезиологов и реаниматологов, пересмотренные в 2021 г. В основу рекомендаций положен обзор публикаций и современные международные руководства Общества по проблемам трудных дыхательных путей (2018, 2020), Американского общества анестезиологов (2013, драфт-версия 2022), Европейского общества анестезиологов (2018). В рекомендациях представлены актуальные определения различных ситуаций «трудных дыхательных путей»; современные данные о применении ультразвуковых технологий при оценке верхних дыхательных путей и прогнозировании риска аспирации на основании предоперационного ультразвукового сканирования желудка; современные доказательные данные об эффективности современных устройств для вентиляции и интубации трахеи. Предложены алгоритмы действий в различных ситуациях при прогнозируемых и непрогнозируемых «трудных дыхательных путях» у пациентов с различным риском аспирации. Также предложен алгоритм подготовки, прогнозирования возможных осложнений и выполнения экстубации трахеи. Представленные в обзоре рекомендации направлены на достижение цели — повышение безопасности пациентов во время возникновения ситуаций «трудных дыхательных путей» за счет применения наиболее безопасных и эффективных подходов и методов, а также снижение риска развития осложнений, связанных с данными ситуациями (летальный исход, грубый неврологический дефицит, травматические повреждения верхних дыхательных путей и трахеи и т. п.).
https://doi.org/10.21320/1818-474X-2021-2-17-81
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