Budnuk A. Anaesthetic management for thyroid surgery in "difficult airway": prediction and prevention of perioperation complications.

The thesis is devoted to solving the urgent problems of modern anesthesiology, namely improving the effectiveness of anesthetic management in patients with severe airway in thyroid surgery, studying the effect of special provision for strumectomy blood flow to intra-and extracranial vessels, the comparison of different techniques of preoxygenation, reduce the frequency of severe ventilation through a face mask, difficult tracheal intubation and a violation of the airway in the early postoperative period. The comparative characteristics of different predictors and scales for predicting "difficult airway" was conducted. We prove the advantage of indirect and direct diagnostic laryngoscopy as a method of forecasting severe tracheal intubation. To improve the laryngoscopic picture of intubation was significantly effective to use external laryngeal maneuver. The lowest incidence of severe tracheal intubation was using a laryngoscope with a fiberoptic light guide and Flaplight. Established that the primary cause a violation of airway after surgery on the thyroid gland is edema and paresis of the larynx, as well as postoperative bleeding.