Comparative analysis of parameters of external respiration in the process of anaesthesia with sevoflurane and desflurane by minimally invasive interventions
Author Affiliations1Krasnoyarsk State Medical University n.a. V.F. Voyno-Yasenetsky of Minzdrav of Russia, 660022, Krasnoyarsk, Partizana Zheleznyaka str., 1
2Krasnoyarsk State Medical University n.a. V.F. Voyno-Yasenetsky of Minzdrav of Russia, 660022, Krasnoyarsk, Partizana Zheleznyaka str., 1
3Krasnoyarsk Interdistrict Clinical Hospital № 4, 660094, Krasnoyarsk, Kutuzova str., 71
Abstract
The aim of the investigation was a comparative study of the status and changes of parameters of external respiration at carrying out of endoscopic surgery for tubal infertility using low-flow sevoflurane- or desflurane-based anesthesia, the application of epiglottis duct I-gel and the mode of ventilation with pressure support (PS). 100 patients with tubal infertility underwent surgical treatment of infertility under general sevoflurane- or desflurane-based anesthesia with epiglottis duct and the use of ventilation with pressure support (PS) have been investigated. It has been established that the changes of respiration biomechanics parameters in both groups have the unidirectional character and the highest values of deviation from the source parameters have been revealed at the third stage of the research (15 minutes after the imposition of carboxyperitoneum) without alteration of gas exchange during low-flow sevoflurane- or desflurane-based anesthesia with maintained spontaneous breathing through the epiglottis duct. That shows the safety of these methods of anesthesia and the possibility of their application in everyday clinical practice.
Key words
References
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About Authors (Correspondence):
Gritsan A.I. – doctor of medical sciences, professor, head of department of anesthesiology and critical care medicine, e-mail: gritsan67@mail.ru
Krotov M.V. – postgraduate student, assistant of department of anesthesiology and critical care medicine, e-mail: krotov_mv@mail.ru
Bichurin R.A. – the candidate of medical sciences, assistant of department of anesthesiology and critical care, head of the department of anesthesiology and intensive care, e-mail: biramir@yandex.ru
