Subject(s)
Anesthesia, General , Anesthetics, Dissociative , Ketamine , Leiomyoma/surgery , Uterine Neoplasms/surgery , Adrenal Glands/drug effects , Adrenal Glands/metabolism , Anesthesia, General/methods , Anesthetics, Dissociative/pharmacokinetics , Anesthetics, Dissociative/pharmacology , Anesthetics, Dissociative/therapeutic use , Chromaffin System/drug effects , Chromaffin System/metabolism , Female , Hemodynamics/drug effects , Humans , Hysterectomy , Ketamine/pharmacokinetics , Ketamine/pharmacology , Ketamine/therapeutic use , Middle Aged , Sympathetic Nervous System/drug effects , Sympathetic Nervous System/metabolismABSTRACT
The article presents the results of performing endoscopic intubation of the trachea under emergency situations in patients and victims of traumatic and pyo-inflammatory alterations of organs and tissue of the neck. The technique of the trachea intubation is described. It was noted that in such patients there appear serious problems during the intubation of the trachea by the method of direct laryngoscopy which are due to considerable disturbances of the anatomo-topographic interrelations of the organs, marked edema of the tissues and by the presence of the pathological content in the lumen of the oro- and laryngopharynx. The trachea intubation performed under the control of vision with the help of a bronchofibroscope allows to avoid additional traumatization of the tissue of the oro- and laryngopharynx, to rapidly introduce the endotracheal tube into the trachea without hypoxia, to perform sanitation of the oral cavity, pharynx and the tracheobronchial tree.
