Email this article Continuous epidural block in complex intensive therapy of severe acute pancreatitis
- Authors: Frolkov V.V.1, Krasnosel’skiy M.Y.2, Ovechkin A.M2
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Affiliations:
- SBIH City clinical hospital #23 “MedSanTrud”
- SBEI “I.M. Sechenov First Moscow State Medical University” of MHC of RF
- Issue: Vol 9, No 1 (2015)
- Pages: 38-44
- Section: Articles
- URL: https://journals.rcsi.science/1993-6508/article/view/36248
- DOI: https://doi.org/10.17816/ра.v9i1.36248
- ID: 36248
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Abstract
The prospective study included 220 patients with severe acute pancreatitis. From this group 105 individuals received continuous epidural blockade (EB) with 0.2% ropivacain solution for 3-7 days. The rest of patients were enrolled into control group. Continuous EB promoted the decrease of intra-abdomenal pressure and allowed introducing the enteral nutrition 2-3 days earlier. Patients from EB group have less lung complications comparing with control group. Total incidence of purulent intra-abdomenal complications was 20,0% in EB group while in control group - 51,3%. The EB conducting contributed into decrease of period of staying in intensive care unit and in hospital as a whole. The incidence of mortality was 11,4% in EB group while in control group it was 15,6%. We concluded that performing of continuous epidural block at early stage of severe acute pancreatitis as an intensive therapy component results in decreasing of frequency of life-threatening complications and mortality.
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##article.viewOnOriginalSite##About the authors
Valeriy V. Frolkov
SBIH City clinical hospital #23 “MedSanTrud”
Email: frolkov@rambler.ru
109240, Moscow
M. Ya Krasnosel’skiy
SBEI “I.M. Sechenov First Moscow State Medical University” of MHC of RF119991, Moscow
A. M Ovechkin
SBEI “I.M. Sechenov First Moscow State Medical University” of MHC of RF119991, Moscow
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