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[Anesthetic management in endotracheo-bronchial surgery for central bronchial and tracheal tumors].

Abstract
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.
AuthorsA 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
JournalVoprosy onkologii (Vopr Onkol) Vol. 58 Issue 1 Pg. 89-93 ( 2012) ISSN: 0507-3758 [Print] Russia (Federation)
PMID22629836 (Publication Type: Journal Article)
Topics
  • Adult
  • Aged
  • Anesthesia, Inhalation
  • Anesthesia, Intravenous
  • Blood Loss, Surgical (prevention & control)
  • Bronchial Neoplasms (surgery)
  • Bronchoscopy (methods)
  • Female
  • High-Frequency Ventilation
  • Humans
  • Hypotension (chemically induced)
  • Hypoxia (etiology, prevention & control)
  • Male
  • Middle Aged
  • Primary Prevention (methods)
  • Respiration, Artificial (methods)
  • Respiratory Insufficiency
  • Retrospective Studies
  • Tidal Volume
  • Tracheal Neoplasms (surgery)

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