[Anesthesia during diagnostic and therapeutic endoscopic abdominal procedures]

The results of a retrospective study of peculiarities of anesthetic management at emergency diagnostic endoscopic interventions in abdominal organs are presented in the article. Anesthesia-related risk factors, peculiarities of surgery duration and most often complications, encountered during operation and immediately after it, were analyzed in cases of the administration of multi-component combined endotracheal narcosis (MCEN), intravenous anesthesia, intramuscular sedation and local anesthesia. It was pointed out that the need to revise the anesthetic tactic (use of another type of anesthetic management) appeared in cases of intravenous anesthesia (27%), intramuscular sedation (20%) or local anesthesia (40%). Complications were encountered, during the early postoperative period in breathing organs, 9-18% (pneumothorax, pneumonia), in case of intravenous anesthesia of diagnostic laparoscopy. PONV syndrome was on the top of complications' list (42%) in MCEN. In order to optimize the medical care rendered to patients, who are admitted to the emergency surgery department, multi-component combined endotracheal narcosis is suggested as a method of choice for diagnostic laparoscopic interventions; a management algorithm and MCEN peculiarities are defined.