Year 2008 Vol. 16 No 2

ANESTHESIOLOGY AND REANIMATOLOGY

MAROCHKOV A.V., DUDKO V.A., REZNIKOV M.V.

THE EXPERIENCE OF ANESTHESIA USE WITH ISOFLURANE APPLICATION IN THE ABDOMINAL SURGERIES

The experience of isoflurane application in abdominal surgeries is summarized and the comparative estimation of anesthesia parameters with halothane anaesthetization is performed. 134 patients who have undergone laparoscopic cholecystectomy are included into the research. Intraoperative monitoring has included ECG control, heart rate, non-invasive BP, pulse oximetry, thermometry, gas composition control of the inhaled and exhaled mixture, determination of inhalation anesthetic minimum alveolar concentration (MAC), carbon dioxide at inhalation and exhalation, capnography, respiratory monitoring, respiratory passages resistance, compliance.The quality of neuromuscular block has been defined by peripheral nerves stimulation in the TOF-regimen. Electroencephalographic entropy indexes have been controlled to estimate the anesthesia intensity level.
It has been concluded that application of inhalation anesthetic isoflurane in the concentration 1 MAC as the balanced endotracheal anesthesia permits to maintain adequate anesthesia, stable hemodynamics and timely restoration of adequate consciousness of a patient after surgery.

Keywords: general anesthesia, isoflurane, monitoring.
p. 116 – 124 of the original issue
References
  1. Ингаляционная анестезия изофлюраном с использованием метода «minimal flow anesthesia» / В.В. Лихванцев [и др.] // Вестн. инт. тер. – 2001. – №1. – С. 65-68.
  2. Бараш,П.Д. Клиническая анестезиология: пер. с англ. / П.Д. Бараш. – М.: Мед. лит. – 2004. – С. 104 – 113.
  3. Морган, Дж. Э. Клиническая анестезиология: пер. с англ. / Дж. Э.Морган , М.Е. Михаил.– СПб.: Издательство БИНОМ-Невский диалект. – 1998. – Кн. 1. – С. 149 -173.
  4. Эйткенхед, А.Р. Руководство по анестезиологии / А.Р.Эйткенхед, Г. Смит. – М.: Медицина. – 1999. – С. 154-178.
  5. Лебединский,К.М. Анестезия и системная гемодинамика / К.М. Лебединский. – СПб.:Человек. – 2000. – 200 с.
  6. Руководство по кардиоанестезиологии / А.А.Бунатян [и др.] – М.: ООО «Медицинское информационное агентство». – 2005. – С. 260-262; 368-370; 429 - 430.
  7. Катцунг, Б.Г. Базисная и клиническая фармакология: пер. с англ. / Б.Г. Катцунг. – СПб.: Невский диалект. – 1998. – Т.1. – С. 470-479.
  8. Лекманов, А.У. Современные компоненты общей анестезии у детей [Электронный ресурс] / А.У. Лекманов, А.И. Салтанов // Вестн. инт. тер. – 1999. – №2.
  9. Современная ингаляционная анестезия в детской челюстно-лицевой хирургии / Д.В. Афонин [и др.] // Анестезиол. и реаниматол. – 2007. – №1. – С.7-11.
  10. Stoelting, R.K. Pharmacology and physiology in anesthetic practice / R.K. Stoelting. – 1991. – 2nd ed. – P. 33-70.
  11. Riad, W. Monitoring with EEG entropy decreases propofol requirement and maintains cardiovascular stability during induction of anaesthesia in elderly patients / W. Riad, M. Schreiber, A.B. Saeed // European Journal of Anaesthesiology. – 2007. – Vol. 24. – P. 684 - 688.
Contacts | ©Vitebsk State Medical University, 2007-2023