Abstract

Objective: to study whether spontaneous patient breathing may be preserved during elective operations under general anesthesia with tracheal intubation. Subjects and methods. One hundred and twelve patients undergoing elective surgeries under general endotracheal anesthesia were randomized into 2 groups: 1) patients who had forced mechanical ventilation in the volume-controlled mode and 2) those who received assisted ventilation as spontaneous breathing with mechanical support. Conclusion. The study shows that spontaneous breathing with mechanical support may be safely used during some surgical interventions in patients with baseline healthy lungs. Key words: Pressure Support, assisted ventilation, spontaneous breathing, general anesthesia, lung function.

Highlights

  • Цель исследования — изучить возможность сохранения спонтанного дыхания пациентов в условиях плановых опера тивных вмешательств под общей анестезией с интубацией трахеи

  • Objective: to study whether spontaneous patient breathing may be preserved during elective operations under general anesthesia with tracheal intubation

  • One hundred and twelve patients undergoing elective surgeries under general endotracheal anesthesia were randomized into 2 groups: 1) patients who had forced mechanical ventilation in the volume controlled mode and 2) those who received assisted ventilation as spontaneous breathing with mechanical support

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Summary

ОБЩАЯ АНЕСТЕЗИЯ С СОХРАНЕННЫМ СПОНТАННЫМ ДЫХАНИЕМ ЧЕРЕЗ ИНТУБАЦИОННУЮ ТРУБКУ

General Anesthesia with Preserved Spontaneous Breathing through an Intubation Tube. Ключевые слова: Pressure Support, вспомогательная ИВЛ, спонтанное дыхание, общая анестезия, функция легких. Objective: to study whether spontaneous patient breathing may be preserved during elective operations under general anesthesia with tracheal intubation. One hundred and twelve patients undergoing elective surgeries under general endotracheal anesthesia were randomized into 2 groups: 1) patients who had forced mechanical ventilation in the volume controlled mode and 2) those who received assisted ventilation as spontaneous breathing with mechanical support. Возможно, сейчас пришло время вспомнить о том, что для проведения ИВЛ во время анестезии у пациента с исходно здоровыми лег кими существуют только две причины: 1) требования хирургической техники; 2) депрессия дыхания, вызываемая большинством препаратов для анестезии.

Влияние ИВЛ на функции легких
Влияние ИВЛ на дыхательную мускулатуру
Влияние ИВЛ на развитие ателектазов
Материалы и методы
Результаты и обсуждение
Дозы препаратов для поддержания анестезии
ОБЩАЯ РЕАНИМАТОЛОГИЯ
Full Text
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