Anaesthetic support of endoscopic interventions in patients with severe systemic diseases

Abstract

The paper provides a retrospective analysis of 30 medical histories of patients with choledocholithiasis and pancreatic b cancer attributed to IV risk group according to the classification of the American Society of Anaesthesiologists. The authors have performed 15 endoscopic interventions under the conditions of total intravenous anaesthesia (propofol, fentanyl, and rocuronium bromide) accompanied by artificial pulmonary ventilation, and 15 endoscopic interventions under the conditions of low flow inhala-tional anaesthesia with controlled respiration (sevoflurane, fentanyl, and rocuronium bromide). Unlike the first group, the second one was characterised by hemodynamic stability during introduction to general anaesthesia with no intraoperative myocardial ischemia. The sevoflurane decreased the need in neuromuscular relaxants and narcotic analgesics.