Endotracheal anesthesia laparoscopic ectopic pregnancy

The article was professionally consulted by Specialist Doctor I Nguyen Xuan Tinh - Anesthesiologist - Resuscitation - Department of General Surgery - Vinmec Phu Quoc International General Hospital. Doctor Nguyen Xuan Tinh has more than 18 years of experience studying and working in the field of Anesthesia - Resuscitation.

Endotracheal anesthesia is a technique of general anesthesia with endotracheal intubation for the purpose of breathing control during surgery and postoperative resuscitation. This is an anesthetic method commonly used in laparoscopic ectopic pregnancy with many advantages.

An ectopic pregnancy is an obstetric disorder that occurs when a fertilized egg implants outside the uterus. Laparoscopic ectopic pregnancy will help early diagnosis and effective treatment of cases of unruptured ectopic pregnancy or ruptured ectopic pregnancy, but it does not affect the patient's overall health because of the presence of blood in the abdomen. a few. However, the treatment method for ectopic pregnancy depends on the Bruhat score, which includes the following risk factors:
History of ectopic pregnancy: 2 points Each additional ectopic pregnancy: 1 point History of past adhesions Laparoscopy: 1 point History of tubal microsurgery: 2 points Only 1 fallopian tube: 2 points History of salpingitis: 1 point With ipsilateral adhesions: 1 point With contralateral adhesions: 1 point Based on the total score obtained by the pregnant woman, the doctor will have the following treatment methods:
0-3 points: laparoscopic conservation of the fallopian tubes if the patient still needs to give birth 4 points: laparoscopic hysterectomy Over 5 points: Laparoscopic tubal resection and sterilization of the opposite side

Ectopic pregnancy will be indicated for laparoscopic surgery in the case of hemodynamic stability of the pregnant woman, ectopic pregnancy without bleeding or used to diagnose suspected ectopic pregnancy. Contraindications to laparoscopic ectopic pregnancy include:
Contraindications to laparoscopic surgery Ectopic pregnancy ruptures causing vascular collapse Failure to preserve the fallopian tube in case of cystic wall hematoma or has been active.

General steps:
Patient is supine, breathing 100% oxygen 3-6 L/min at least 5 minutes before induction of anesthesia at least 5 minutes Mechanical monitoring and establishing effective infusion Pre-anesthesia (if necessary) Initiation phase Anesthesia:
Sleeping pills: An intravenous anesthetic (propofol) or an volatile anesthetic (sevoflurane) Pain reliever

Muscle relaxants if necessary In order to intubate the endotracheal tube, it is necessary that the patient sleeps deeply and has sufficient muscle relaxation. The endotracheal tube can be placed by mouth or nose. The period of anesthesia maintenance:
The patient will be maintained. anesthesia with intravenous or volatile anesthetics, analgesics, muscle relaxants if necessary Use a machine or hand squeeze to control the patient's breathing.

After endotracheal anesthesia, it is necessary to monitor the following factors of the patient:
Monitor the depth of anesthesia by reflexes of the autonomic nervous system such as heart rate, blood pressure, sweat Monitor vital signs such as: Heart rate, blood pressure, SpO2, EtCO2, body temperature Preventing the wrong position of the endotracheal tube or abnormalities such as folding, obstruction Vinmec International General Hospital with its facilities, With modern medical equipment and a team of experts and doctors with many years of experience in medical examination and treatment, patients can rest assured that they will be examined and treated at the Hospital.

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