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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">patmedfar</journal-id><journal-title-group><journal-title xml:lang="ru">Пациентоориентированная медицина и фармация</journal-title><trans-title-group xml:lang="en"><trans-title>Patient-Oriented Medicine and Pharmacy</trans-title></trans-title-group></journal-title-group><issn pub-type="epub">2949-1924</issn><publisher><publisher-name>LLC Izdatelstvo OKI</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.37489/2949-1924-0052</article-id><article-id custom-type="edn" pub-id-type="custom">PAPSDL</article-id><article-id custom-type="elpub" pub-id-type="custom">patmedfar-88</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>АНЕСТЕЗИОЛОГИЯ И РЕАНИМАТОЛОГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ANESTHESIOLOGY AND RESUSCITATION</subject></subj-group></article-categories><title-group><article-title>Трудные дыхательные пути у хирургического пациента с анкилозирующим спондилитом (болезнью Бехтерева): клинический случай</article-title><trans-title-group xml:lang="en"><trans-title>Difficult airway in a surgical patient with ankylosing spondylitis (Bechterew's disease): clinical case</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8186-8236</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Соколов</surname><given-names>Д. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Sokolov</surname><given-names>D. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Соколов Дмитрий Александрович — к. м. н., доцент кафедры анестезиологии и реаниматологии</p><p>Ярославль</p></bio><bio xml:lang="en"><p>Dmitry A. Sokolov — Candidate of Medical Sciences, Associate Professor, Department of Anesthesiology and Reanimatology</p><p>Yaroslavl</p></bio><email xlink:type="simple">d_inc@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4596-6517</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Потапов</surname><given-names>М. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Potapov</surname><given-names>M. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Потапов Максим Петрович — к. м. н., доцент кафедры хирургических болезней, начальник мультипрофильного аккредитационно-симуляционного центра, зав. кафедрой медицинской кибернетики</p><p>Ярославль</p></bio><bio xml:lang="en"><p>Maxim P. Potapov — Candidate of Medical Sciences, Associate Professor of the Department of Surgical Diseases, Head of the Multidisciplinary Accreditation and Simulation Center, Head. Department of Medical Cybernetics</p><p>Yaroslavl</p></bio><email xlink:type="simple">mxp@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5816-4620</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ганерт</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Ganert</surname><given-names>A. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ганерт Андрей Николаевич — к. м. н., доцент, кафедра анестезиологии и реаниматологии</p><p>Ярославль</p></bio><bio xml:lang="en"><p>Andrey N. Ganert — Candidate of Medical Sciences, Associate Professor, Department of Anesthesiology and Resuscitation</p><p>Yaroslavl</p></bio><email xlink:type="simple">anest08@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5950-1246</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тимошенко</surname><given-names>А. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Tymoshenko</surname><given-names>A. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тимошенко Андрей Леонидович — д. м. н., профессор, кафедра анестезиологии и реаниматологии; зав. отделениеманестезиологии</p><p>Ярославль</p></bio><bio xml:lang="en"><p>Andrey L. Tymoshenko — Doctor of Medical Sciences, Professor, Department of Anesthesiology and Resuscitation; Head of the Department of Anesthesiology</p><p>Yaroslavl</p></bio><email xlink:type="simple">tymoshenko@ysmu.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3868-188X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жбанников</surname><given-names>П. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhbannikov</surname><given-names>P. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Жбанников Пётр Станиславович — к. м. н., доцент, кафедра анестезиологии и реаниматологии</p><p>Ярославль</p></bio><bio xml:lang="en"><p>Peter S. Zhbannikov — Candidate of Medical Sciences, Associate Professor, Department of Anesthesiology and Resuscitation</p><p>Yaroslavl</p></bio><email xlink:type="simple">zbannikov@ysmu.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7460-9519</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Любошевский</surname><given-names>П. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Lyuboshevskiy</surname><given-names>P. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Любошевский Павел Александрович — д. м. н., доцент, зав. кафедрой анестезиологии и реаниматологии; руководитель дистанционного консультационного центра</p><p>Ярославль</p></bio><bio xml:lang="en"><p>Pavel A. Lyuboshevskiy — Doctor of Medical Sciences, Associate Professor, Head. Department of Anesthesiology and Resuscitation; Head of the remote consultation center</p><p>Yaroslavl</p></bio><email xlink:type="simple">pal_ysma@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Ярославский государственный медицинский университет» Министерства здравоохранения Российской Федерации;  ГБУЗ Ярославской области «Областная клиническая больница»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Yaroslavl state medical university; Regional clinical hospital</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ВО «Ярославский государственный медицинский университет» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Yaroslavl state medical university</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>23</day><month>05</month><year>2024</year></pub-date><volume>2</volume><issue>2</issue><fpage>65</fpage><lpage>72</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Соколов Д.А., Потапов М.П., Ганерт А.Н., Тимошенко А.Л., Жбанников П.С., Любошевский П.А., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Соколов Д.А., Потапов М.П., Ганерт А.Н., Тимошенко А.Л., Жбанников П.С., Любошевский П.А.</copyright-holder><copyright-holder xml:lang="en">Sokolov D.A., Potapov M.P., Ganert A.N., Tymoshenko A.L., Zhbannikov P.S., Lyuboshevskiy P.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.pomph.ru/jour/article/view/88">https://www.pomph.ru/jour/article/view/88</self-uri><abstract><p>Трудные дыхательные пути — опасная жизнеугрожающая клиническая ситуация, в которой квалифицированный анестезиолог испытывает трудности с вентиляцией верхних дыхательных путей тугой маской, трудности с интубацией трахеи, или обе ситуации одновременно. Это важная социально-экономическая проблема, которая вносит значительный вклад в структуру интраоперационной летальности и инвалидизации пациентов. Представлено клиническое наблюдение трудных дыхательных путей у пациента с болезнью Бехтерева, которому планировалось удаления опухоли головного мозга</p></abstract><trans-abstract xml:lang="en"><p>A difficult airway is a life-threatening clinical situation in which a trained anesthesiologist experiences difficulty ventilating the upper airway with a tight mask, difficulty intubation the trachea, or both. This is an important socio-economic problem that makes a significant contribution to the structure of intraoperative mortality and disability of patients. A clinical observation of difficult airways in a patient with ankylosing spondylitis who was scheduled to have a brain tumor removed is presented.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>трудные дыхательные пути</kwd><kwd>болезнь Бехтерева</kwd><kwd>анкилозирующий спондилоартрит</kwd><kwd>управление дыхательными путями</kwd><kwd>интубация трахеи</kwd><kwd>обучение</kwd><kwd>видеоларингоскопия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>difficult airway</kwd><kwd>Bechterew's disease</kwd><kwd>ankylosing spondylitis</kwd><kwd>airway management</kwd><kwd>tracheal intubation</kwd><kwd>training</kwd><kwd>videolaryngoscopy</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Macewen W. General Observations on the Introduction of Tracheal Tubes by the Mouth, Instead of Performing Tracheotomy or Laryngotomy. British Medical Journal. 1880 Jul;2(1021):122-124. 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