USE OF EPIDURAL ANESTHESIA AS PREVENTIVE METHOD FOR COMPARTMENT SYNDROME DEVELOPMENT IN ACUTE PANCREATITIS
https://doi.org/10.35266/2949-3447-2024-3-1
Abstract
Acute pancreatitis is one of the most common diseases. Since 2000, the proportion of acute pancreatitis among hospitalized patients with acute abdominal diseases has increased from 13.5% to 23.6%, with postoperative mortality reaching 13–15%. The article presents the review of domestic and
foreign literary sources using the Mendeley, eLIBRARY.Ru, CyberLeninka and PubMed databases on advantages and disadvantages of epidural anesthesia for the prevention and treatment of compartment syndrome in patients with acute pancreatitis. The search depth is ten years. As a result of the analysis, the following positive effects of epidural anesthesia were revealed: segmental blockade of sympathetic innervation is an effective method of improving the abdominal cavity perfusion and retroperitoneal space, including the pancreas, as well as improving intestinal peristalsis and relieving pain syndrome. Epidural anesthesia helps to reduce intra-abdominal pressure, which has a beneficial effect on respiratory function, reducing pulmonary shunt and improving the respiratory index. The obtained data may form a basis for further research in order to optimize the intensive care of acute pancreatitis.
About the Authors
S. V. Onishchenko
Surgut Regional Clinical Hospital, Surgut
Russian Federation
Russian Federation
surgeon, Doctor of Sciences (Medicine), Professor
R. D. Temirgereev
Surgut Regional Clinical Hospital, Surgut
Russian Federation
Russian Federation
Postgraduate, Intensivist
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Review
For citations:
Onishchenko S.V., Temirgereev R.D. USE OF EPIDURAL ANESTHESIA AS PREVENTIVE METHOD FOR COMPARTMENT SYNDROME DEVELOPMENT IN ACUTE PANCREATITIS. Vestnik SurGU. Meditsina. 2024;17(3):7-12. (In Russ.) https://doi.org/10.35266/2949-3447-2024-3-1
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