[The anesthesiological aspects of the support for endoscopic manipulations on the tracheobronchial tree]

A characteristic feature of anesthesia for bronchoscopic manipulations is traumatism of the interventions in highly reflexogenic areas, severity of the clinical status, unknown duration of the examination, and necessity of immediate alteration of the type and scheme of ventilation during the examination. These problems impede the choice of adequate anesthesia. Drugs used in bronchology must be highly reliable and ensure effective anesthesia, the effect should not be long, they should be rapidly metabolized, and induce no post-medication effects. Ventilation is carried out under conditions of the respiratory contour which is not constantly hermetic, through a long metal tube, with constant or temporary obturation of one lung, etc. Modern criteria for a patient's safety require reliable and informative monitoring during anesthesia. The principles of choosing an anesthesia, new drugs, and modifications of ventilation support in anesthesia for bronchoscopic examinations are discussed.