[Anesthetic management in endotracheo-bronchial surgery for central bronchial and tracheal tumors].

Autor: Arsen'ev AI, Vedenin IaO, Barchuk AS, Duanevskiĭ IV, Nefedov AO, Barchuk AA, Gagua KÉ, Aristidov NIu, Kanaev SV, Tarkov SA, Dolgopol'skiĭ MN
Jazyk: ruština
Zdroj: Voprosy onkologii [Vopr Onkol] 2012; Vol. 58 (1), pp. 89-93.
Abstrakt: The article summarizes the experience of anesthetic management in rigid bronchoscopy endobronchial surgery. Induction intravenous anesthesia followed by high tidal-volume mechanical ventilation proved to be more effective, than inhalation anesthesia with injector or high-frequency ventilation, although these methods are safe and effective in patients with compensated respiratory failure. The use of controlled hypotonia with mean arterial pressure of 60-70 mm Hg leads to decrease of blood loss and hypoxemia prevention without impairment of hemodynamics.
Databáze: MEDLINE