Периоперационное ведение гериатрических пациентов. Проект клинических рекомендаций ФАР
№ 1 (2018) , ПРОЕКТ КЛИНИЧЕСКИХ РЕКОМЕНДАЦИЙ ФАР
№ 1 (2018)
ПРОЕКТ КЛИНИЧЕСКИХ РЕКОМЕНДАЦИЙ ФАР

Периоперационное ведение гериатрических пациентов. Проект клинических рекомендаций ФАР

https://doi.org/10.21320/1818-474X-2018-1-60-74
Опубликован 24.03.2018
Игорь Борисович Заболотских
ФГБОУ ВО «Кубанский государственный медицинский университет» МЗ РФ, Краснодар
https://orcid.org/0000-0002-3623-2546
Е.С. Горобец
ФГБУ «Российский онкологический научный центр им. Н.Н. Блохина» МЗ РФ, Москва
https://orcid.org/0000-0002-9311-2153
Е.В. Григорьев
ФГБОУ ВО «Кемеровский государственный медицинский университет» МЗ РФ, Кемерово
https://orcid.org/0000-0001-8370-3083
И.А. Козлов
ГБУЗ МО «Московский областной научно-исследовательский клинический институт им. М.В. Владимирского», Москва
https://orcid.org/0000-0003-1910-0207
К.М. Лебединский
ФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» МЗ РФ, Санкт-Петербург
https://orcid.org/0000-0002-5752-4812
Т.С. Мусаева
ФГБОУ ВО «Кубанский государственный медицинский университет» МЗ РФ, Краснодар
https://orcid.org/0000-0001-9285-852X
А.М. Овечкин
ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» МЗ РФ, Москва
https://orcid.org/0000-0002-3453-8699
Н.В. Трембач
ФГБОУ ВО «Кубанский государственный медицинский университет» МЗ РФ, Краснодар
https://orcid.org/0000-0002-0061-0496
В.Э. Хороненко
ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» МЗ РФ, Москва
https://orcid.org/0000-0001-8845-9913
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Ключевые слова

гериатрия
анестезия
периоперационный период

Как цитировать

Заболотских И.Б., Горобец Е.С., Григорьев Е.В., Козлов И.А., Лебединский К.М., Мусаева Т.С., Овечкин А.М., Трембач Н.В., Хороненко В.Э. Периоперационное ведение гериатрических пациентов. Проект клинических рекомендаций ФАР. Вестник интенсивной терапии имени А.И. Салтанова. 2018;(1):60–74. doi:10.21320/1818-474X-2018-1-60-74.
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Статистика с 21.01.2023

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Аннотация

Необходимость в хирургическом лечении у пациентов пожилого возраста возникает в четыре раза чаще, чем в среднем по популяции. В связи с тенденцией к увеличению продолжительности жизни становится все больше пожилых пациентов, перенесших операцию, что требует увеличения объема гериатрической помощи, в том числе хирургической и анестезиологической. Общеизвестно, что по сравнению с молодыми пациентами пожилые люди имеют более высокий риск развития неблагоприятных послеоперационных исходов в результате связанного с возрастом снижения физиологических функций, наличия нескольких сопутствующих заболеваний, полипрагмазии, когнитивной дисфункции и специфических гериатрических синдромов, таких как хрупкость. Представленные рекомендации обобщают современные представления о периоперационном ведении пациентов старших возрастных групп. Особое внимание уделено особенностям предоперационного обследования, включающего оценку гериатрических синдромов, выбору метода анестезии и правильному расчету дозировок препаратов для анестезии. Большое значение в настоящее время придается роли когнитивного статуса пожилых пациентов и послеоперационной когнитивной дисфункции, которая в значительной степени ухудшает исход заболевания. Настоящие рекомендации включают в себя меры по оценке когнитивного статуса и профилактике осложнений, связанных с его нарушением. Индивидуализация подхода к ведению гериатрических пациентов является основой эффективной профилактики периоперационных осложнений.
https://doi.org/10.21320/1818-474X-2018-1-60-74
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