Abstract
The safety and effectiveness of endoscopic rhinological operations in the treatment of chronic inflammatory diseases, as well as neoplasms of the paranasal sinuses, are largely achieved by reducing bleeding in the area of the surgical field. Even a small amount of blood can disrupt the view during endoscopy and prevent the intervention from being performed, thereby increasing the risk of complications.The review presents modern methods of reducing the risk of intraoperative bleeding under general anesthesia. Each approach has its own characteristics, therefore, the benefit-risk ratio should be assessed for each patient before choosing a specific method for controlling intraoperative bleeding.
Highlights
Показано, что при FESS по поводу хронического синусита или полипоза носа при использовании общей анестезии были различия в интенсивности интраоперационного кровотечения в зависимости от методики и комбинации препаратов
Even a small amount of blood can disrupt the view during endoscopy
the benefit-risk ratio should be assessed for each patient before choosing a specific method
Summary
Применение ЛМ для контроля дыхательных путей при FESS в условиях общей анестезии существенно, по сравнению с ИТ, улучшало обзор операционного поля за счет снижения интенсивности интраоперационного кровотечения на фоне отсутствия респираторных и сердечно-сосудистых реакций. Что при FESS по поводу хронического синусита или полипоза носа при использовании общей анестезии были различия в интенсивности интраоперационного кровотечения в зависимости от методики и комбинации препаратов.
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