[Anesthetic management in endotracheo-bronchial surgery for central bronchial and tracheal tumors]
Autor: | A I, Arsen'ev, Ia O, Vedenin, A S, Barchuk, I V, Duanevskiĭ, A O, Nefedov, A A, Barchuk, K É, Gagua, N Iu, Aristidov, S V, Kanaev, S A, Tarkov, M N, Dolgopol'skiĭ |
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Rok vydání: | 2012 |
Předmět: |
Adult
Male Bronchial Neoplasms Blood Loss Surgical High-Frequency Ventilation Middle Aged Respiration Artificial Primary Prevention Bronchoscopy Anesthesia Intravenous Tidal Volume Humans Female Tracheal Neoplasms Hypotension Anesthesia Inhalation Hypoxia Respiratory Insufficiency Aged Retrospective Studies |
Zdroj: | Voprosy onkologii. 58(1) |
ISSN: | 0507-3758 |
Popis: | 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: | OpenAIRE |
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