METHOD FOR ALTERNATING ARTIFICIAL PULMONARY VENTILATION IN CASE OF VIDEOTHORACOSCOPIC OPERATIONS IN NEONATALS AND CHILDREN OF EARLY AGE AT HIGH ANESTHESIOLOGICAL RISK

摘要

FIELD: medicine, pediatrics, anesthesiology.;SUBSTANCE: at induction of general anesthesia one should conduct traditional two-lung ventilation at the mode of positive pressure at the end of expiration, on visualizing pleural cavity one should change for high-frequency pulmonary ventilation at respiration frequency being 130-150 cycles/min, respiratory volume of 3-6 l, the ratio of inhalation to expiration being 1:1 and fractional content of oxygen being 0.7-0.8. During performing the stage requiring lung's stillness it is necessary to conduct artificial ventilation in counter-lateral lung at the mode of positive pressure being at the end of expiration, on finishing that stage one should start high-frequency artificial ventilation; operation should be finished with traditional two-lung ventilation. The innovation provides stabilization of hemodynamics and safety of gaseous homeostasis.;EFFECT: higher efficiency.;2 ex