[Anaesthesia and monitoring in cardiac and aortic surgery at Russian Scientific Surgical Center].

Basic principles of anaesthesia management in cardiac and aortic surgery, elaborated in the Department of cardioan aesthesia of Petrovsky National Research Centre of Surgery are presented and discussed. Clinical, instrumental and laboratory data helped us to mark out main aspects of anaesthesia safety and efficacy improvement in cardiac surgery patients. These include: complex preoperative preparation for heart failure degree reduction, drugs selection for balanced anaesthesia, enhanced homeostasis monitoring, the effective protection of myocardium, brain and spinal cord, internal organs, pharmacological and mechanical cardiovascular support, haemostasis optimization etc.