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Гематология и трансфузиология

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Руководство по лечению тяжелого периоперационного кровотечения: рекомендации Европейского общества анестезиологов

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Аннотация

Выбор наиболее подходящей стратегии лечения пациентов с  периоперационным кровотечением  — сложная и многоступенчатая задача. Изначально необходимо определить, существует ли у пациента повышенный риск развития периоперационного кровотечения. Затем, в целях профилактики развития кровотечения, необходимо провести предоперационную коррекцию анемии, а также стабилизацию макроциркуляции и микроциркуляции, чтобы создать оптимальные условия для переносимости кровотечения. Наконец, для уменьшения кровопотери вследствие развития интраоперационных и послеоперационных кровотечений, во избежание развития осложнений или смертельного исхода должны быть применены методы целевого вмешательства. В настоящем обновлении руководства представлен обзор наиболее актуальной информации, которая может помочь медицинскому персоналу улучшить стратегию терапии таких пациентов. Для поиска информации в данном обновлении были использованы электронные базы данных, составленные на всех языках мира, начиная с 2011 г. или 2012 г. (в зависимости от условий поиска) и заканчивая 2015 г. В ходе данного поиска были отобраны 18 334 статьи. В поисках новых методов были изучены все статьи, а также пересмотрены существующие рекомендации 2013 г. В рекомендациях 2013 г. были отредактированы некоторые формулировки, изменена градация рекомендаций по степени значимости, а также были добавлены новые рекомендации. Предварительная версия рекомендаций была опубликована на сайте Европейского общества анестезиологов (European Society of Anaesthesiology — ESA) и была доступна для рассмотрения в течение четырех недель. Все комментарии были учтены, а соответствующие поправки внесены в данную версию.

Об авторах

S. A. Kozek-Langenecker

Россия

Sibylle A. Kozek-Langenecker



А. B. Ahmed

Россия

Aamer B. Ahmed



A. Afshari

Россия

Arash Afshari



P. Albaladejo

Россия

Pierre Albaladejo



C. Aldecoa

Россия

Cesar Aldecoa



G. Barauskas

Россия

Guidrius Barauskas

 



E. De Robertis

Россия

Edoardo De Robertis



D. Faraoni

Россия

David Faraoni



D. C. Filipescu

Россия

Daniela C. Filipescu



D. Fries

Россия

Dietmar Fries



T. Haas

Россия

Thorsten Haas



M. Jacob

Россия

Matthias Jacob



M. D. Lance´

Россия

Marcus D. Lance´



J. V.L. Pitarch

Россия

Juan V.L. Pitarch



S. Mallett

Россия

Susan Mallett



J. Meier

Россия

Jens Meier



Z. L. Molnar

Россия

Zsolt L. Molnar



N. Rahe-Meyer

Россия

Niels Rahe-Meyer



Ch. M. Samama

Россия

Charles M. Samama



J. Stensballe

Россия

Jakob Stensballe



P. J.F. Van der Linden

Россия

Philippe J.F. Van der Linden



A. Wikkelsø

Россия

Anne J. Wikkelsø



P. Wouters

Россия

Patrick Wouters



P. Wyffels

Россия

Piet Wyffels



K. Zacharowski

Kai Zacharowski



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Для цитирования:


Kozek-Langenecker S.A., Ahmed А.B., Afshari A., Albaladejo P., Aldecoa C., Barauskas G., Robertis E.D., Faraoni D., Filipescu D.C., Fries D., Haas T., Jacob M., Lance´ M.D., Pitarch J.V., Mallett S., Meier J., Molnar Z.L., Rahe-Meyer N., Samama C.M., Stensballe J., Van der Linden P.J., Wikkelsø A., Wouters P., Wyffels P., Zacharowski K. Руководство по лечению тяжелого периоперационного кровотечения: рекомендации Европейского общества анестезиологов. Гематология и трансфузиология. 2021;66(1):88-160.

For citation:


Kozek-Langenecker S.A., Ahmed A.B., Afshari A., Albaladejo P., Aldecoa C., Barauskas G., Robertis E.D., Faraoni D., Filipescu D.C., Fries D., Haas T., Jacob M., Lance´ M.D., Pitarch J.V., Mallett S., Meier J., Molnar Z.L., Rahe-Meyer N., Samama C.M., Stensballe J., Van der Linden P.J., Wikkelsø A.J., Wouters P., Wyffels P., Zacharowski K. Management of severe perioperative bleeding. Guidelines from the European Society of Anaesthesiology. Russian journal of hematology and transfusiology. 2021;66(1):88-160. (In Russ.)

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