Anesthesia Maintenance During Mini-Invasive Cardiac Valve Surgery

Based on own experience and published data the authors analyze the features and specific components of anesthesia maintenance during mini-invasive cardiac valve surgery. The following clinically relevant aspects of anesthesia and perioperative intensive care were identified: preoperative patient sel...

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Bibliographic Details
Main Authors: L. A. Krichevsky, N. V. Semenychev, A. I. Magilevets, V. Yu., Rybakov, A. V. Laptiy, I. E. Kharlamova, T. V. Setyn
Format: Article
Language:Russian
Published: Russian Academy of Medical Sciences 2013-06-01
Series:Obŝaâ Reanimatologiâ
Online Access:https://www.reanimatology.com/rmt/article/view/138
Description
Summary:Based on own experience and published data the authors analyze the features and specific components of anesthesia maintenance during mini-invasive cardiac valve surgery. The following clinically relevant aspects of anesthesia and perioperative intensive care were identified: preoperative patient selection and surgical and anesthesia risk prediction; one-lung ventilation; peripheral connection of circulation and specific features of its performance; control of oxygen delivery in the bed of aortic arch branches; and echocardiographic monitoring. The main risks and probable complications due to these interventions, such as cerebral hypoxia, respiratory failure, pulmonary hypertension, etc., are described. The mechanisms of their development and the modes of prevention and treatment are shown. Key words: anesthesia in cardiac surgery, mini-invasive cardiac surgery, one-lung ventilation, anesthesia during cardiac valve surgery.
ISSN:1813-9779
2411-7110