The Use of Prolonged Epidural Infusion of Bupivacaine to Reduce the Signs Intraabdomibal Hypertension, to Improve Blood Flow in Great Abdominal Vessels and to Carry Out Adequate Analgesia in the Early Postoperative Period in Children with Oncopathology

D.V. Dmytriiev

Abstract


The study was conducted in 32 children, who were operated for tumors of the abdominal cavity. Depending on the method of anesthesia, patients were divided into 2 groups: in the first group epidural anesthesia (EA) with continuous intravenous infusion of fentanyl were used; in the second group we used only continuous intravenous infusion of fentanyl. Multidimensional analgesia (EA and continuous intravenous infusion of opioid analgesics) significantly reduces the negative effects of inadequate analgesia in children and promotes effective analgesia after traumatic operations, minimizes the signs of intraabdominal hypertension syndrome and improves blood flow in the vessels of the abdomen.


Keywords


analgesia; intraabdominal hypertension; resistance index

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DOI: https://doi.org/10.22141/2224-0586.1.64.2015.79578

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