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СОВРЕМЕННЫЕ ПОДХОДЫ К ПРОВЕДЕНИЮ АНЕСТЕЗИОЛОГИЧЕСКОГО ПОСОБИЯ В ДЕТСКОЙ ЛОР-ХИРУРГИИ


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The paper deals with the topical problem of pediatric anesthesiology - current approaches to performing an anesthe-siological appliance in pediatric ENT surgery. The study included 1299 children aged 3 days of life to 14 with vari-ous surgical ENT abnormalities at anesthesia risk l-lll (ASA) in whom surgical intervention was performed under multicomponent general anesthesia or under heal anesthesia. The paper comparatively characterizes the currently available methods for general anesthesia used during both short ENT surgery and long endonasal microendoscopic interventions. The effectiveness and safety of different procedures for maintenance of free airway patency, such as en-dotracheal intubation, a laryngeal mask, a COPA-airline, were compared. Since adenoid- and/or tonsillectomy, as well as tonsillotomy are the most common operations in pediatric ENT surgery, indications for and contraindications to these interventions under general anesthesia were defined. It has been shown that endonasal microendoscopic op-erations in children should be performed exclusively under general endotrachea! anesthesia and local anesthesia is a mere one of its important constituents.


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ISSN: 0201-7563 (Print)
ISSN: (Online)