zabmedvestnikЗабайкальский медицинский вестникTransbaikalian Medical Bulletin1998-6173Читинская государственная медицинская академия10.52485/19986173_2021_1_81zabmedvestnik-56Research ArticleНАУЧНЫЕ ОБЗОРЫSCIENTIFIC REVIEWSИскусственная вентиляция легких у больных с острым нарушением мозгового кровообращенияMechanical ventilation in patients with acute cerebrovascular accidentГазенкампфА. А.GazenkampfA. A.

660022, г. Красноярск, ул. Партизана Железняка, зд. 1

1 Partizan Zheleznyak str., Krasnoyarsk, 660022

ГрицанА. И.GritsanA. I.

660022, г. Красноярск, ул. Партизана Железняка, зд. 1

1 Partizan Zheleznyak str., Krasnoyarsk, 660022

ХиновкерВ. В.KhinovkerV. V.

660022, г. Красноярск, ул. Партизана Железняка, зд. 1

1 Partizan Zheleznyak str., Krasnoyarsk, 660022

СимдянкинК. И.SimdyankinK. I.

660022, г. Красноярск, ул. Партизана Железняка, зд. 1

1 Partizan Zheleznyak str., Krasnoyarsk, 660022

Федеральное государственное бюджетное образовательное учреждение высшего образования «Красноярский государственный медицинский университет имени профессора В.Ф. Войно-Ясенецкого» Министерства здравоохранения Российской ФедерацииРоссияKrasnoyarsk State Medical University named after Professor V.F. Voyno-YasenetskyRussian Federation202130072024018194Copyright © Газенкампф А.А., Грицан А.И., Хиновкер В.В., Симдянкин К.И., 20242024Газенкампф А.А., Грицан А.И., Хиновкер В.В., Симдянкин К.И.Gazenkampf A.A., Gritsan A.I., Khinovker V.V., Simdyankin K.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.zabmedvestnik.ru/jour/article/view/56Резюме

Резюме. Острое нарушение мозгового кровообращения является одной из основных причин заболеваемости и смертности в России и во всем мире. Инсульт – одна из ведущих причин госпитализации в отделения интенсивной терапии. В практике ведения пациентов с инсультами в условиях отделения интенсивной терапии, одним из наиболее сложных вопросов является процесс проведения респираторной поддержки.

Цель данного обзора

Цель данного обзора: отразить современный взгляд на наиболее важные, моменты, касающиеся проведения искусственной вентиляции легких у пациентов с ОНМК. В статье представлены результаты наиболее актуальных исследований, касающихся как понимания процесса с точки зрения физиологии, так и клинических аспектов проведения искусственной вентиляции легких у данной категории больных. Несмотря на большое количество приведенных рекомендаций, авторы признают, что конкретных данных относительно эффекта респираторного лечения на результаты терапии пациентов с ОНМК на данный момент недостаточно, и многие вопросы по проведению РП при поврежденном головном мозге требуют уточнения и формирования более серьезной доказательной базы. Тем не менее, очевидно, что обдуманный и контролируемый подход к проведению ИВЛ может существенно влиять на выживаемость пациентов с инсультами и, что не менее важно, на результаты их лечения, что подтверждает важность дальнейших исследований в этой области.

Cerebrovascular accident (CVA) i.e. a stroke is one of the main causes of morbidity and mortality in Russia and around the world. And as a result, stroke is the most common reason for admission to the intensive care unit. The most difficult issues in the treatment of stroke patients in the intensive care unit is the process of conducting respiratory support.

The purpose of this review: to reflect the contemporary development about the most important points regarding the mechanical ventilation in patients with stroke. The results of the most relevant studies regarding both the understanding of the process in terms of physiology and the clinical features of mechanical ventilation in this category of patients are presented in the article. According to the authors that there are currently insufficient data on the effect of respiratory treatment in patients with stroke, despite the lot of recommendations. And many questions about the features of respiratory support for pactient with damaged brain need to be clarified, so it should be based on clinical trials. Anyway, well-considered and controlled approach to mechanical ventilation can significantly affect the survival of patients with strokes and the results of patient’s treatment. These findings confirm the importance of further research in this area.

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The authors declare that there are no conflicts of interest present.