Scientific journal
Научное обозрение. Медицинские науки
ISSN 2500-0780
ПИ №ФС77-57452

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ALTERNATIVES NEURAXIAL COMPONENT OF INTENSIVE CARE DESTRUCTIVE PANCREATITIS

Lonskaya S.K. 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
The possibility of use of neuraxial anesthesia techniques in the treatment of acute pancreatitis in patients with middle and old age. The research based on the analysis of the treatment of clinical and surgical treatment of 54 patients with various forms of acute pancreatitis. Analgesic component of the treatment of acute pancreatitis in the study group was provided retroplevral prolonged blockade and continuous epidural analgesia with ropivacaine in the comparison group - long-term epidural analgesia. Analysis of clinical efficacy data generated using a visual analog scale (VAS) and the dynamics of the endotoxemia. The study demonstrated that the most effective analgesia retroplevralnaya the edematous and uncomplicated forms of acute pancreatitis, and with contraindications to epidural analgesia. Continuous infusion of local anesthetic into the epidural space is a necessary component of intensive care destructive forms of acute pancreatitis.