Regional Anesthesia and Acute Pain ManagementRegional Anesthesia and Acute Pain ManagementРегионарная анестезия и лечение острой боли1993-65082687-1394Eco-Vector4283610.17816/RA42836ArticlesСтатьиResearch ArticleNeuraxial anesthesia in obstetric patients with intracranial hypertension: ten questions and answersНейроаксиальная анестезия у рожениц с внутричерепной гипертензией: десять вопросов и ответовShifmanEfim M.ШифманЕфим Муневич

MD, PhD, DSc, Professor, Department of Anesthesiology and Resuscitation, M.F. Vladimirskiy Moscow Regional Scientific and Research Clinical Institute

д.м.н., профессор кафедры анестезиологии и реаниматологии, ГБУЗ МО «Московский областной научно-исследовательский клинический институт им. М.Ф. Владимирского»

eshifman@mail.ruArustamyanR. RАрустамянР. РLubninA. UЛубнинА. ЮKulikovA. VКуликовА. ВM.F. Vladimirskiy Moscow Regional Scientific and Research Clinical InstituteГБУЗ МО «Московский областной научно-исследовательский клинический институт им. М.Ф. Владимирского»A.I. Evdokimov Moscow State Medical Stomatological UniversityГБОУ ВПО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова МЗ РФ»N.N. Burdenko Scientific Research Neurosurgery InstituteФГАУ «Научно-исследовательский институт нейрохирургии им. акад. Н.Н. Бурденко МЗ РФ»Ural State Medical UniversityФГБОУ ВО МЗ РФ «Уральский государственный медицинский университет»15122016104VOL 10, NO4 (2016)ТОМ 10, №4 (2016)29731024082020Copyright ©; 2016, Eco-VectorCopyright ©; 2016, ООО "Эко-Вектор"2016Eco-VectorООО "Эко-Вектор"https://rjraap.com/1993-6508/article/view/42836

This review covers the actual problem - the use of neuraxial anesthesia in obstetrics in women with intracranial hypertension of various etiologies. Neuraxial anesthesia in pregnant patients with intracranial pathology is possible, but this requires an individual approach, a joint discussion of anesthesiologists, obstetricians, neonatologists and neurologists. An assessment of the likelihood of increased intracranial pressure and related potential adverse effects.

Настоящий обзор посвящен актуальной проблеме - применению нейроаксиальной анестезии в акушерстве у женщин с внутричерепной гипертензией различной этиологии. Использование нейроаксиальной анестезии у беременных с различной внутричерепной патологией возможно, однако для этого необходим индивидуальный подход с совместным обсуждением анестезиологами, акушерами, неврологами и неонатологами. Необходима оценка вероятности увеличения ВЧД и связанных с ним потенциальных отрицательных влияний.

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