[Anesthesia during diagnostic and therapeutic endoscopic abdominal procedures]

Area of Science:

• Anesthesiology
• Surgical Endoscopy

Context:

• Emergency diagnostic endoscopic interventions in abdominal organs require careful anesthetic management.
• Retrospective analysis of anesthetic techniques including multi-component combined endotracheal narcosis (MCEN), intravenous anesthesia, intramuscular sedation, and local anesthesia.

Purpose:

• To analyze anesthesia-related risk factors, surgery duration, and complications associated with different anesthetic methods during emergency diagnostic endoscopic procedures.
• To identify the optimal anesthetic strategy for diagnostic laparoscopic interventions in emergency surgery settings.

Summary:

• MCEN was found to be a preferred method, with lower rates of anesthetic tactic revision compared to intravenous anesthesia (27%), intramuscular sedation (20%), and local anesthesia (40%).
• Complications included respiratory issues (9-18%) with intravenous anesthesia during diagnostic laparoscopy and postoperative nausea and vomiting (PONV) syndrome (42%) with MCEN.
• An algorithm and specific considerations for MCEN were defined to optimize patient care.

Impact:

• Recommends multi-component combined endotracheal narcosis (MCEN) as the method of choice for diagnostic laparoscopic interventions in emergency surgery.
• Provides an anesthetic management algorithm and highlights MCEN peculiarities for optimizing patient care.
• Aims to improve outcomes for patients undergoing emergency diagnostic endoscopic procedures.