Novosti
Khirurgii
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indexed in Scopus



Year 2009 Vol. 17 No 3

ANESTHESIOLOGY-REANIMATOLOGY

A.V. MAROCHKOV, A.N. BORDILOVSKY, S.A. RYMKEVICH, M.V. REZNIKOV, A.L. KUSTREY, S.A. TOCHILO

MULTICOMPONENT ENDOTRACHEAL ANESTHESIA WITH SEVOFLURANE USE IN THE ABDOMINAL SURGERY

The experience of sevoflurane use during abdominal surgeries is summarized; the comparative estimation of anesthesia parameters at anesthetization with sevoflurane and halotan is performed. 73 patients were included in the investigation who were operated on because of the organ diseases of the abdominal cavity; laparoscopic cholecystectomy, laparotomic cholecystectomy, appendectomy, celotomy were carried out in these patients.
Intra-operative monitoring included EKG control, HR, non-invasive BP, pulse oximetry, thermometry, control of gas content in the inhaled and exhaled mixture, determination of the minimal alveolar concentration of the inhalation anesthetic, carbon dioxide at breathing in and out, capnography, respiratory monitoring, respiratory passages resistance, compliance.
It has been concluded that the use of inhalation anesthetic sevoflurane in the concentration of 1 МАС as a component of the balanced endotracheal anesthesia permits to maintain the adequate anesthetization as well as stable hemodynamics and timely gaining of consciousness of a patient after a surgery.

Keywords: general anesthesia, sevoflurane, halotan, monitoring
p. 137 - 145 of the original issue
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