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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
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