Сравнительная эффективность и безопасность современных методик анестезии и послеоперационной аналгезии в хирургии морбидного ожирения
Сравнительная эффективность и безопасность современных методик анестезии и послеоперационной аналгезии в хирургии морбидного ожирения
С.Л.Эпштейн. Сравнительная эффективность и безопасность современных методик анестезии и послеоперационной аналгезии в хирургии морбидного ожирения. Consilium Medicum. Хирургия (Прил.). 2008; 2: 12-20.
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Список литературы
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ной терапевтической системы бупренорфина «Транстек» для обезбо-
ливания в ранние сроки после кардиохирургических операций. Анестези-
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5. Лихванцев В.В., Субботин В.В, Куликов В.А., Большедворов Р.В. Реальные и
мнимые проблемы современной общей анестезии. Клин. анестезиол. и
реаниматол. 2007; 4 (5): 2–7.
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анестезия и аналгезия наропином в периоперационном периоде у боль-
ных с морбидным ожирением. Вестн. интенсив. тер. 2005; 4: 52–8.
8. Эпштейн С.Л., Яшков Ю.И., Сторожев В.Ю. и др. Мониторинг глубины
анестезии и периоперационная эпидуральная анестезия/анальгезия в
аспекте ранней послеоперационной реабилитации больных морбид-
ным ожирением. Анналы хирургии. Приложение. Хирургическое лечение
ожирения и сопутствующих метаболических нарушений. Материалы
четвертого российского симпозиума с международным участием.
26–28 апреля 2007 г., с. 64–5.
9. Яшков Ю.И., Эпштейн С.Л., Романов Б.В., Саблин И.А. Синдром длитель-
ного раздавливания с исходом в острую почечную недостаточность
после операции по поводу сверхожирения. Анн. хир. 2006, 2: 78–80.
10. Adams J, Muphy P. Obesity in anaesthesia and intensive care. Br J Anaesth
2000; 85 (1): 91–108.
11. Akbay B, Hayit F, Pehlivan M, Agartan C. Anaesthetic management of an
extremely obese woman undergoing open gastric bypass. Eur J Anaesth 2006;
23 (11): 983–6.
12. Alpert M, Terry B, Kelly D. Effect of weight loss on cardiac chamber size, wall
thickness and left ventricular function in morbid obesity. Am J Cardiol 1985; 55:
783–6.
13. Aurilio C, Pace M, Passavanti M. Transdermal buprenorphine combined with
spinal morphine and naropin for pain relief in chronic peripheral vasculopathy.
Minerva Anesthesiol 2005; 71: 445–9.
14. Baerdemaeker L, Jacobs S, Blauwen N et al. Postoperative results after desflurane
or sevoflurane combined with remifentanil in morbidly obese patients.
Obes Surg 2006; 16: 728–33.
15. Bellamy M, Struys M. Anaesthesia for the overweight and obese patient.
Oxford University Press, 2007.
16. Bennett R, Batenhorst R, Graves D et al. Variation in postoperative analgesic
requirements in the morbidly obese following gastric bypass surgery. Pharmacotherapy
1982; 2: 50–3.
17. Bosello O, Zamboni M. Visceral obesity and metabolic syndrome. Obesity Rew
2000; 1: 47–56.
18. Bostanjian D, Anthone G, Hamoui N. Rhabdomyolysis of gluteal muscles
leading to renal failure: a potentially fatal complication of surgery in the morbidly
obese. Obes Surg 2003; 13: 302–5.
19. Bray G. Pathophisiology of obesity. Am J Clin Nutr 1992; 55 (Suppl.): 488–94.
20. Brodsky J, Lemmens H. Regional anesthesia and obesity. Obes Surg 2007; 17:
1146–9.
21. Budd K. Buprenorphine and the transdermal system: the ideal match in pain
management. Int J Clin Pract Suppl 2003; 133: 9–14.
22. Cameron A, Welborn T, Zimmet P. Overweight and obesity in Australia. Med J
Australia 2003; 178: 427–32.
23. Casati A, Putzu M. Anaesthesia in the obese patient: pharmacokinetic considerations.
J Clin Anesth 2005; 17: 134–45.
24. Cheah M, Kam P. Obesity: basic science and medical aspects relevant to
anaesthetists. Anaesthesia 2005; 60: 1009–21.
25. Chelly J. An iontophoretic fentanyl HCL patient-controlled transdermal system
for acute postoperative pain management. Expert Opin Pharmacother
2005; 6: 1205–14.
26. Cotter J, Nielsen K, Guller U et al. Increased body mass index and ASA physical
status IY are risk factors for block failure in ambulatory surgery-an analysis
of 9342 blocks. Can J Anesth 2004; 58 (8): 820–6.
27. Covino B, Scott D, McClure J. Handbook of epidural anaesthesia and analgesia.
1999; 207.
28. Criddle L. Rhabdomyolysis. Pathophysiology, recognition and management.
Crit Care Nurs 2003; 23: 14–22.
29. Duggan M, Kavanagh B. Pulmonary atelectasis: a pathogenic perioperative
entity. Anesthesiology 2005; 102: 838–54.
30. Ettinger J, Marcilio C, Santos-Filho P et al. Rhabdomyolysis: diagnosis and
treatment in bariatric surgery. Obes Surg 2007; 17: 525–32.
31. Evans H, Easthope S. Transdermal buprenorphine. Drugs 2003; 63:
1999–2010.
32. Fernandez A, DeMaria E, Tichansky D. Experience with over 3000 open and
laparoscopic procedures: multivariate analysis of factors related to leak and
resultant mortality. Surg Endosc 2004; 18: 193–7.
33. Gastrointestinal surgery for severe obesity. National institutes of health consensus
development draft statement. Obes Surg 1991; 1: 257–66.
34. Greenway S, Greenway F, Klein S. Effects of obesity surgery on non-insulindependent
diabetes mellitus. Arch Surg 2002; 137: 1109–13.
35. Griessinger N, Sittl R, Likar R. Transdermal buprenorphine in clinical practice-
a post-marketing surveillance study in 13179 patients. Curr Med Res Opin
2005; 21 (8): 1147–56.
36. Hans G, Pregaldien A, Kaba A et al. Pressure-controlled ventilation does not
improve gas exchange in morbidly obese patients undergoing abdominal
surgery. Obes Surg 2008; 18: 71–6.
37. Hartrick C, Bourne M, Gargiulo K et al. Fentanyl iontophoretic transdermal
system for acute-pain management after orthopedic surgery: a comparative
study with morphine intravenous patient-controlled analgesia. Reg
Anesth Pain Med 2006; 31 (6): 546–54.
38. Hatch R, Young J. The effect 0f epidural analgesia on gypnosis measured
by BIS EJA 2006; 23 (Suppl. 37): 117–8.
39. Hedenstierna G, Edmark L. The effects of anesthesia and muscle paralysis
on the respiratory system. Intensive Care Med 2005; 31: 1327–35.
40. Heller A. Optimizing clinical pathways using regional anaesthesia.
Refresher course lectures. Madrid, Euroanaesthesia, 3–6 june 2006; 1–6.
41. Helling T, Willoughby T, Maxfield D, Ryan P. Determinants of the need for
intensive care and prolonged mechanical ventilation in patients undergoing
bariatric surgery. Obes Surg 2004; 14: 1036–41.
42. Hodgkinson R, Husain E. Obesity and the cephalad spread of analgesia
following epidural administration of bupivacaine for Cesarean section.
Anesth Analg 1980; 59: 89–92.
43. Hood D, Dewan D. Anesthetic and obstetric outcome in morbidity obese
parturients. Anesthesiology 1993; 79: 1210–8.
44. Kehlet H. Fast-track surgery-the role of anaesthesiologist and perioperative
pain management. Refresher course lectures. Munich, 2007, pp 153-
155
45. Lambert D, Marceau S, Forse R. Intra-abdominal pressure in the morbidly
obese. Obes Surg 2005; 15: 1225–32.
46. Lemmens H, Bernstein D, Brodsky J. Estimating blood volume in obese
and morbidly obese patients. Obes Surg 2006; 16: 773–6.
47. Lopez J, Sung J, Anderson W. Is bariatric surgery safe in academic centers?
Am Surg 2002; 68: 820–3.
48. McCabon R, Moppett I, Hardman J. Ephedrine, phenylephrine and BIS
during propofol anaesthesia. EJA 2007; 24 (6): 559–60.
49. Michaloudis D, Fraidakis O, Petrou A. Continuous spinal
anesthesia/analgesia for perioperative management of morbidly obese
patients undergoing laparotomy for gastroplastic surgery. Obes Surg 2000;
10: 220–9.
50. Mokhdad A, Marks J, Stroup D, Gerberding J. Actual causes of death in the
United States, 2000. J Am Med Assotiation 2004; 291: 1238–45.
51. Naropin. Монография, 1999.
52. Neugebauer E, Sauerland S, Keck V et al. Surgical pain management. A
Germany-wide survey including the effect of clinical guidelines. Chirurg
2003; 74: 235–8.
53. Nielsen K, Guller U, Susan M et al. Influence of obesity on surgical regional
anesthesia in the ambulatory setting: an analysis 0f 9038 blocks. Anesthesiology
2005; 102: 181–7.
54. Pandazi A, Bourliotti A, Kostopanagiotou G. Bispectral index (BIS) monitoring
in morbidly obese patients undergoing gastric bypass surgery: experience
in 23 patients. Obes Surg 2005; 15: 58–62.
55. Panni M, Columb M. Obese parturients have lower epidural local anaesthetic
requirements for analgesia in labour. Br J Anaesth 2006; 96: 106–10.
56. Puig M, Montes A, Marrugar J. Management of postoperative pain in
Spain. Acta Anaesthesiol Scand 2001; 4: 465–9.
57. Ranta P, Joupilla P, Spalding M. The effects of maternal obesity on labour
and labour pain. Anaesthesia 1995; 50: 322–6.
58. Rasheid S, Banasiak M, Gallagher S. Gastric bypass is an effective treatment
for obstructive sleep apnea in patients with clinically significant obesity.
Obes Surg 2003; 13: 58–61.
59. Rawal N, Langford R. Current practices for postoperative pain management
in Europe and the potential role of the fentanyl HCL iontophoretic transdermal
system. EJA 2007; 24 (4): 299–308.
60. Rawal N, Sjostrand U, Christofferson E et al. Comparison of intramuscular and
epidural morphine for postoperative analgesia in the grossly obese. Influence on postoperative
ambulation and pulmonary function. Anesth Analg 1984; 63: 583–92.
61. Reber A. Airways and respiratory function in obese patients. Anaesthetic and
intensive care aspects and recommendations. Anaesthetist 2005; 54: 715–25.
62. Rogers A, Walker N, Schug S et al. Reduction of postoperative mortality and
morbidity with epidural and spinal anaesthesia: results from overview of randomized
trails. BMJ 2000; 321: 1–12.
63. Schein M, Wittmann D, Aprahamian C. The abdominal compartment syndrome:
the physiological and clinical consequences of elevated intra-abdominal
pressure. J Am Coll Surg 1995; 180: 745–53.
64. Servin F, Farinotti R, Haberer J, Desmonts J. Propofol infusion for maintence
of anesthesia in morbidly obese patients receiving nitrous oxide. A clinical and
pharmacokinetic study. Anesthesiology 1993; 78: 657–65.
65. Shobary H, Christou N, Backman S et al. Effect of laparoscopic versus open
gastric bypass surgery on postoperative pain and bowel function. Obes Surg
2006; 16: 437–42.
66. Soderberg M, Thomson D, White T. Respiration, circulation, and anaesthetic
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2. Горобец E.С. Побуждающая спирометрия–оптимальный метод послеопера-
ционной профилактики ателектазов. Вестн. интенсив. тер. 1997; 1–2: 65–9.
3. Еременко А.А., Урбанов А.В., Аветисян М.И. Применение трансдермаль-
ной терапевтической системы бупренорфина «Транстек» для обезбо-
ливания в ранние сроки после кардиохирургических операций. Анестези-
ол. и реаниматол. 2006; 5: 40–4.
4. Кальви Т., Уильямс Н. Фармакология для анестезиолога. М., 2007.
5. Лихванцев В.В., Субботин В.В, Куликов В.А., Большедворов Р.В. Реальные и
мнимые проблемы современной общей анестезии. Клин. анестезиол. и
реаниматол. 2007; 4 (5): 2–7.
6. Ферранте М., ВейдБонкор Т. Послеоперационная боль. М.: Медицина,
1998.
7. Эпштейн С.Л., Сторожев В.Ю., Азарова Т.М. и др. Грудная эпидуральная
анестезия и аналгезия наропином в периоперационном периоде у боль-
ных с морбидным ожирением. Вестн. интенсив. тер. 2005; 4: 52–8.
8. Эпштейн С.Л., Яшков Ю.И., Сторожев В.Ю. и др. Мониторинг глубины
анестезии и периоперационная эпидуральная анестезия/анальгезия в
аспекте ранней послеоперационной реабилитации больных морбид-
ным ожирением. Анналы хирургии. Приложение. Хирургическое лечение
ожирения и сопутствующих метаболических нарушений. Материалы
четвертого российского симпозиума с международным участием.
26–28 апреля 2007 г., с. 64–5.
9. Яшков Ю.И., Эпштейн С.Л., Романов Б.В., Саблин И.А. Синдром длитель-
ного раздавливания с исходом в острую почечную недостаточность
после операции по поводу сверхожирения. Анн. хир. 2006, 2: 78–80.
10. Adams J, Muphy P. Obesity in anaesthesia and intensive care. Br J Anaesth
2000; 85 (1): 91–108.
11. Akbay B, Hayit F, Pehlivan M, Agartan C. Anaesthetic management of an
extremely obese woman undergoing open gastric bypass. Eur J Anaesth 2006;
23 (11): 983–6.
12. Alpert M, Terry B, Kelly D. Effect of weight loss on cardiac chamber size, wall
thickness and left ventricular function in morbid obesity. Am J Cardiol 1985; 55:
783–6.
13. Aurilio C, Pace M, Passavanti M. Transdermal buprenorphine combined with
spinal morphine and naropin for pain relief in chronic peripheral vasculopathy.
Minerva Anesthesiol 2005; 71: 445–9.
14. Baerdemaeker L, Jacobs S, Blauwen N et al. Postoperative results after desflurane
or sevoflurane combined with remifentanil in morbidly obese patients.
Obes Surg 2006; 16: 728–33.
15. Bellamy M, Struys M. Anaesthesia for the overweight and obese patient.
Oxford University Press, 2007.
16. Bennett R, Batenhorst R, Graves D et al. Variation in postoperative analgesic
requirements in the morbidly obese following gastric bypass surgery. Pharmacotherapy
1982; 2: 50–3.
17. Bosello O, Zamboni M. Visceral obesity and metabolic syndrome. Obesity Rew
2000; 1: 47–56.
18. Bostanjian D, Anthone G, Hamoui N. Rhabdomyolysis of gluteal muscles
leading to renal failure: a potentially fatal complication of surgery in the morbidly
obese. Obes Surg 2003; 13: 302–5.
19. Bray G. Pathophisiology of obesity. Am J Clin Nutr 1992; 55 (Suppl.): 488–94.
20. Brodsky J, Lemmens H. Regional anesthesia and obesity. Obes Surg 2007; 17:
1146–9.
21. Budd K. Buprenorphine and the transdermal system: the ideal match in pain
management. Int J Clin Pract Suppl 2003; 133: 9–14.
22. Cameron A, Welborn T, Zimmet P. Overweight and obesity in Australia. Med J
Australia 2003; 178: 427–32.
23. Casati A, Putzu M. Anaesthesia in the obese patient: pharmacokinetic considerations.
J Clin Anesth 2005; 17: 134–45.
24. Cheah M, Kam P. Obesity: basic science and medical aspects relevant to
anaesthetists. Anaesthesia 2005; 60: 1009–21.
25. Chelly J. An iontophoretic fentanyl HCL patient-controlled transdermal system
for acute postoperative pain management. Expert Opin Pharmacother
2005; 6: 1205–14.
26. Cotter J, Nielsen K, Guller U et al. Increased body mass index and ASA physical
status IY are risk factors for block failure in ambulatory surgery-an analysis
of 9342 blocks. Can J Anesth 2004; 58 (8): 820–6.
27. Covino B, Scott D, McClure J. Handbook of epidural anaesthesia and analgesia.
1999; 207.
28. Criddle L. Rhabdomyolysis. Pathophysiology, recognition and management.
Crit Care Nurs 2003; 23: 14–22.
29. Duggan M, Kavanagh B. Pulmonary atelectasis: a pathogenic perioperative
entity. Anesthesiology 2005; 102: 838–54.
30. Ettinger J, Marcilio C, Santos-Filho P et al. Rhabdomyolysis: diagnosis and
treatment in bariatric surgery. Obes Surg 2007; 17: 525–32.
31. Evans H, Easthope S. Transdermal buprenorphine. Drugs 2003; 63:
1999–2010.
32. Fernandez A, DeMaria E, Tichansky D. Experience with over 3000 open and
laparoscopic procedures: multivariate analysis of factors related to leak and
resultant mortality. Surg Endosc 2004; 18: 193–7.
33. Gastrointestinal surgery for severe obesity. National institutes of health consensus
development draft statement. Obes Surg 1991; 1: 257–66.
34. Greenway S, Greenway F, Klein S. Effects of obesity surgery on non-insulindependent
diabetes mellitus. Arch Surg 2002; 137: 1109–13.
35. Griessinger N, Sittl R, Likar R. Transdermal buprenorphine in clinical practice-
a post-marketing surveillance study in 13179 patients. Curr Med Res Opin
2005; 21 (8): 1147–56.
36. Hans G, Pregaldien A, Kaba A et al. Pressure-controlled ventilation does not
improve gas exchange in morbidly obese patients undergoing abdominal
surgery. Obes Surg 2008; 18: 71–6.
37. Hartrick C, Bourne M, Gargiulo K et al. Fentanyl iontophoretic transdermal
system for acute-pain management after orthopedic surgery: a comparative
study with morphine intravenous patient-controlled analgesia. Reg
Anesth Pain Med 2006; 31 (6): 546–54.
38. Hatch R, Young J. The effect 0f epidural analgesia on gypnosis measured
by BIS EJA 2006; 23 (Suppl. 37): 117–8.
39. Hedenstierna G, Edmark L. The effects of anesthesia and muscle paralysis
on the respiratory system. Intensive Care Med 2005; 31: 1327–35.
40. Heller A. Optimizing clinical pathways using regional anaesthesia.
Refresher course lectures. Madrid, Euroanaesthesia, 3–6 june 2006; 1–6.
41. Helling T, Willoughby T, Maxfield D, Ryan P. Determinants of the need for
intensive care and prolonged mechanical ventilation in patients undergoing
bariatric surgery. Obes Surg 2004; 14: 1036–41.
42. Hodgkinson R, Husain E. Obesity and the cephalad spread of analgesia
following epidural administration of bupivacaine for Cesarean section.
Anesth Analg 1980; 59: 89–92.
43. Hood D, Dewan D. Anesthetic and obstetric outcome in morbidity obese
parturients. Anesthesiology 1993; 79: 1210–8.
44. Kehlet H. Fast-track surgery-the role of anaesthesiologist and perioperative
pain management. Refresher course lectures. Munich, 2007, pp 153-
155
45. Lambert D, Marceau S, Forse R. Intra-abdominal pressure in the morbidly
obese. Obes Surg 2005; 15: 1225–32.
46. Lemmens H, Bernstein D, Brodsky J. Estimating blood volume in obese
and morbidly obese patients. Obes Surg 2006; 16: 773–6.
47. Lopez J, Sung J, Anderson W. Is bariatric surgery safe in academic centers?
Am Surg 2002; 68: 820–3.
48. McCabon R, Moppett I, Hardman J. Ephedrine, phenylephrine and BIS
during propofol anaesthesia. EJA 2007; 24 (6): 559–60.
49. Michaloudis D, Fraidakis O, Petrou A. Continuous spinal
anesthesia/analgesia for perioperative management of morbidly obese
patients undergoing laparotomy for gastroplastic surgery. Obes Surg 2000;
10: 220–9.
50. Mokhdad A, Marks J, Stroup D, Gerberding J. Actual causes of death in the
United States, 2000. J Am Med Assotiation 2004; 291: 1238–45.
51. Naropin. Монография, 1999.
52. Neugebauer E, Sauerland S, Keck V et al. Surgical pain management. A
Germany-wide survey including the effect of clinical guidelines. Chirurg
2003; 74: 235–8.
53. Nielsen K, Guller U, Susan M et al. Influence of obesity on surgical regional
anesthesia in the ambulatory setting: an analysis 0f 9038 blocks. Anesthesiology
2005; 102: 181–7.
54. Pandazi A, Bourliotti A, Kostopanagiotou G. Bispectral index (BIS) monitoring
in morbidly obese patients undergoing gastric bypass surgery: experience
in 23 patients. Obes Surg 2005; 15: 58–62.
55. Panni M, Columb M. Obese parturients have lower epidural local anaesthetic
requirements for analgesia in labour. Br J Anaesth 2006; 96: 106–10.
56. Puig M, Montes A, Marrugar J. Management of postoperative pain in
Spain. Acta Anaesthesiol Scand 2001; 4: 465–9.
57. Ranta P, Joupilla P, Spalding M. The effects of maternal obesity on labour
and labour pain. Anaesthesia 1995; 50: 322–6.
58. Rasheid S, Banasiak M, Gallagher S. Gastric bypass is an effective treatment
for obstructive sleep apnea in patients with clinically significant obesity.
Obes Surg 2003; 13: 58–61.
59. Rawal N, Langford R. Current practices for postoperative pain management
in Europe and the potential role of the fentanyl HCL iontophoretic transdermal
system. EJA 2007; 24 (4): 299–308.
60. Rawal N, Sjostrand U, Christofferson E et al. Comparison of intramuscular and
epidural morphine for postoperative analgesia in the grossly obese. Influence on postoperative
ambulation and pulmonary function. Anesth Analg 1984; 63: 583–92.
61. Reber A. Airways and respiratory function in obese patients. Anaesthetic and
intensive care aspects and recommendations. Anaesthetist 2005; 54: 715–25.
62. Rogers A, Walker N, Schug S et al. Reduction of postoperative mortality and
morbidity with epidural and spinal anaesthesia: results from overview of randomized
trails. BMJ 2000; 321: 1–12.
63. Schein M, Wittmann D, Aprahamian C. The abdominal compartment syndrome:
the physiological and clinical consequences of elevated intra-abdominal
pressure. J Am Coll Surg 1995; 180: 745–53.
64. Servin F, Farinotti R, Haberer J, Desmonts J. Propofol infusion for maintence
of anesthesia in morbidly obese patients receiving nitrous oxide. A clinical and
pharmacokinetic study. Anesthesiology 1993; 78: 657–65.
65. Shobary H, Christou N, Backman S et al. Effect of laparoscopic versus open
gastric bypass surgery on postoperative pain and bowel function. Obes Surg
2006; 16: 437–42.
66. Soderberg M, Thomson D, White T. Respiration, circulation, and anaesthetic
management in obesity. Investigation before and after jejunoileal bypass. Acta
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Авторы
С.Л.Эпштейн
Многопрофильная клиника «Центр эндохирургии и литотрипсии», Москва
Многопрофильная клиника «Центр эндохирургии и литотрипсии», Москва
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