METHOD FOR PREVENTING DECOMPENSATED RESPIRATORY FAILURE FOLLOWING RADICAL SURGICAL TREATMENT OF LUNG CANCER IN PATIENTS WITH SEVERE CHRONIC OBSTRUCTIVE PULMONARY DISEASE Russian patent published in 2024 - IPC A61B17/24 A61M16/04 A61M16/01 

FIELD: medicine.

SUBSTANCE: invention relates to anaesthesiology-resuscitation and oncology. Intraoperative at the final stage of a planned operation for lung cancer in patients with severe chronic obstructive pulmonary disease preventive puncture-dilatation tracheostomy is performed under conditions of continuing general anesthesia. Emergency respiratory support is provided for the patient with the adapted intelligent modes of artificial pulmonary ventilation through preventive puncture-dilatation tracheostomy. Taking into account the partial pressure of oxygen and carbon dioxide in the patient's blood, an adapted mode of ALV is selected. After the operation is completed, the patient’s respiratory deficit is compensated by ALV in the mode of pressure-assisted forced ventilation. Each respiratory effort of the patient is initiated by an additional inspiration. Under control of blood gas composition the patient undergoes ALV in the mode of synchronized intermittent forced ventilation. During spontaneous breathing in case of insufficient independent respiratory efforts, the patient is initiated with an extra inhalation. Patient is then transferred to a pressure-controlled intelligent ventilation mode.

EFFECT: method provides the effectiveness of the surgical stage of the anticancer therapy of lung cancer and creates conditions for expansion of indications for full surgical treatment in patients with chronic obstructive pulmonary disease with limited functional capabilities of respiratory system.

1 cl, 2 ex