FIELD: medicine.
SUBSTANCE: invention relates to the field of medicine, namely to anesthesiology and resuscitation. Prior to insertion of a nasogastrointestinal probe through an endotracheal tube through both nasal passages to the patient under general anesthesia with artificial lung ventilation, Mully-type aspiration catheters with vacuum control are installed to a depth equal to the distance from the earlobe to the nasal wing of the patient, at the level of the entrance to the larynx. An M. Schilling aspiration catheter with vacuum control with a length of 520 mm is then installed while a nasogatrointestinal probe is inserted and fixed with an adhesive bandage at the level of the last openings of the nasogastrointestinal probe, corresponding to the presence of the nasogastrointestinal probe in the stomach. During the insertion of the nasogastrointestinal probe, alternate aspiration is performed from catheters installed in the laryngeal region. Periodic aspiration is performed from the catheter advanced into the stomach, as well as from the nasogastrointestinal probe. A negative vacuum suction pressure not exceeding 15 cm w.c. is used.
EFFECT: makes it possible to avoid regurgitation and aspiration of gastrointestinal contents into the tracheobronchial tree and development of Mendelson's syndrome, to create optimal conditions for decompression of the gastrointestinal tract.
1 cl, 1 ex
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Authors
Dates
2021-08-25—Published
2020-08-04—Filed