COMPARATIVE EXPERIENCE OF USING LOW-FLOW SEVOFLURANE- AND DESFLURANE-BASED ANESTHESIA AND TOTAL INTRAVENOUS ANESTHESIA IN MINIMAL INVASIVE SURGERY
Author Affiliations1Krasnoyarsk State Medical University n.a. V.F. Voyno-Yasenetsky
2Krasnoyarsk Interdistrict Clinical Hospital № 4
3Krasnoyarsk State Medical University n.a. V.F. Voyno-Yasenetsky
Abstract
The investigation aim was a comparative study of the status and changes of hemodynamic parameters, severity of stress reactions, syndrome of postoperative nausea and vomiting and patient satisfaction with anesthesia when performing endoscopic surgery with the use of low flow sevoflurane-, desflurane-based anesthesia and total intravenous propofol-based anesthesia. 150 patients with tubal forms of infertility underwent surgical treatment under general sevoflurane- or desflurane-based anesthesia with the use of the epiglottic airduct and ventilation with pressure support and total intravenous anesthesia with artificial lung ventilation have been examined. Based on the research findings it has been found that all applied types of anesthesia demonstrated their validity, adequacy and safety for the patient. None of the types of anesthesia did cause serious hemodynamic changes. However, low flow techniques of inhalational sevoflurane- and desflurane-based anesthesia have less influence on the hemodynamics. It is shown that low-flow techniques of inhalation anesthesia are promising for minimally invasive interventions as providing the most adequate protection against the operating stress and the least frequency of postoperative side effects.
Key words
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About Authors (Correspondence):
Krotov M.V. – postgraduate student, assistant of department of anesthesiology and critical care medicine, e-mail: krotov_mv@mail.ru
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