Zaytseva O.B. 1
Zaytsev A.V. 1
Glinkina I.V. 1
Karnov D.V. 1
Konstantinov S.N. 1
Bezrukov I.E. 2
Tarasov V.A. 2
1 Ulyanovsk state University
2 Public Health Agency Ulyanovsk Regional Clinical Center of specialized types of medical care
We evaluated the efficacy of epidural anesthesia to correct preoperative intra-abdominal hypertension syndrome caused by urgent surgical pathology. The study involved 157 patients with the syndrome of intra-abdominal hypertension. Patients in the study group set preoperative epidural anesthesia has been incorporated with a continuous infusion of 0.2 % ropivacaine solution. Assessment of the anterior abdominal wall stress was carried out using two main indicators characterizing: the elasticity and compliance of the abdominal cavity – the term recommended for introduction into clinical practice. The use of the proposed scheme pre-correction of intra-abdominal hypertension leads to a statistically significant reduction in the severity of pain stress the anterior abdominal wall, increase the frequency of regression syndrome of intra-abdominal hypertension, reduce the severity of organ failure, effective correction of metabolic acidosis due to respiratory compensation.
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