Abstract
The study aimed to develop scientific argumentation and implementation of high epidural thoracic
anesthesia (HETA) to cardiosurgery practice as the main component in providing of perioperative
safety of patients with ischemic heart disease (IHD).
HETA application significantly reduces anesthetic risk due to dose reduction of narcotic analgesics
and cardiotropic agents. HETA facilitates early extubation and stay decrease time in
resuscitation and intensive care unit. The frequency of intra- and postoperative expressed heart,
respiratory and acute renal failure and heart rhythm disturbance significantly reduces in
patients with HETA. The effectiveness of method during myocardial revascularization is conditioned
by its stabilized influence on perverted coronary circulation without reference to age
of patients, existence of combined and comorbidity pathology and also constitutional peculiarities.
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