| Popis: |
The expansion of the range of anesthetic aids for ENT operations is largely associated with the development of endoscopic surgery and pharmacology. Taking into account the characteristics of each type of anesthesia, as well as the patient’s somatic state and the nature of the pathological process, the operating team makes a decision about choosing the type of anesthesia. The article presents the experience of anesthesiological support of operations in the Department of Otorhinolaryngology No. 1 of Voronezh Regional Clinical Hospital No. 1, there are also parallels with the works of Russian and foreign colleagues. For the purpose of efficiency research of different types of anesthesia for otorhinolaryngological operations, as well as for investigating opportunities to minimize the risk of complications, 2569 anesthetic aids were analyzed. Drug sedation was performed in 2163 cases (84,2%), endotracheal anesthesia in 266 cases (10,35%), short – term intravenous anesthesia in 110 cases (4,28%), and Stand-by anesthesia in 30 cases (1,17%). The stress response to surgical intervention was controlled according to the value of blood cortisol level, which patients have in all groups, both intraoperatively and in the postoperative period, was within the reference range (138–690 mmol/l), which indicates the adequacy of the ongoing allowance. Authors make a conclusion that the adequacy of anesthesia should be ensured by matching the type of anesthetic aid to the nature of the pathological process, the type and duration of surgery, taking into account the patient’s condition and the likelihood of developing emergency situations intraoperatively and in the postoperative period. Using modern achievements in otorhinolaryngology and anesthesiology, competent interaction between the surgeon and the anesthesiologist during the operation allows to significantly reduce the operational and anesthetic risks and increase the quality of otorhinolaryngological care. |
