CORRECTION OF INTRAABDOMINAL HYPERTENSION IN PATIENTS WITH MULTIPLE ORGAN FAILURE
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.