METHODS OF REDUCING REFLEX REACTIONS CAUSED BY THE ENDOTRACHEAL TUBE.

The Aim: to assess the effectiveness of the two methods reducing the level of reactions caused by the endotracheal tube in the airway.

Materials And Methods: A prospective investigation in intraoperative and early postoperative periods during gynecological surgery was performed. In groups with anti-reflective tube (ARETT), endotracheal tube with the introduction of local anesthetic, and in the control group were evaluated hemodynamic parameters, frequency ofpostoperative nausea and vomiting, sore throat, cough, hoarseness, dysphagia, level of agitation and sedation (RASS) and the subjective reactions ofpatients on the handset.

Results: The greatest efficiency of antireflexive tubes has been shown in comparison with a group of administration of local anesthetic into tube and compared with the control group. This group had the presence of the most stable hemodynamics, lower level of excitation in motivation, lower incidence of sore throat and cough, without increasing the frequency of PONV Conclusuion. Stable hemodynamics on awakening in the AREYT group makes it reasonable to use in patients with hyvertension and coronarv heart disease.