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Khirurgii

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Year 2010 Vol. 18 No 1

ANESTHESIOLOGY-REANIMATOLOGY

A.V. MAROCHKOV, D.V. OSIPENKO, V.M. DOROGOKUPETS, D.P. SHMAT’KO

THE EXPERIENCE OF ANESTHESIA MAINTENANCE AND THE PECULIARITY OF THE EARLY POSTOPERATIVE PERIOD COURSE AT RECONSTRUCTIVE OPERATIONS ON THE ABDOMINAL AORTA SECTION

The results of the operation anesthesia maintenance on the abdominal aorta section in 59 patients are analyzed. The aorta-femoral and bifurcation prosthesis because of the atherosclerotic aneurisms of the abdominal aorta section was carried out in 29 patients; the aorta-femoral and bifurcation shunting because of the atherosclerotic lesions of the abdominal aorta section was done in 30 patients (51%). Balanced multicomponent anesthesia with the endotracheal intubation and the artificial lung ventilation was applied in all patients to provide anesthesia protection during the operation. The used scheme of the anesthesia maintenance, specialization of anesthesiologists at the cardiology in-patient department, prevention of the cardiological complications development during the intra- and postoperative periods permitted both to exclude the lethality and to reduce significantly the incidence of cardiological complications (up to 1, 7%). The increase of the lactate level was marked in the patients during the postoperative period with the maximal indexes 6 hours after the operation with subsequent normalization of indexes by the end of the first 24 hours.

Keywords: multicomponent anesthesia, endotracheal intubation, operations on the abdominal aorta section, lactate level
p. 90 – 100 of the original issue
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