Open AccessThe use of epidural analgesia in the treatment of acute pancreatitis
Author(s) -
S. Sitkin
Publication year - 2016
Publication title -
regionarnaâ anesteziâ i lečenie ostroj boli
Language(s) - English
Resource type - Journals
eISSN - 2687-1394
pISSN - 1993-6508
DOI - 10.18821/1993-6508-2016-10-4-291-296
Subject(s) - medicine , acute pancreatitis , pancreatitis , splanchnic , microcirculation , anesthesia , pancreas , perfusion , intensive care medicine , surgery , hemodynamics
Acute pancreatitis (AP) is one of the most frequent gastrointestinal diseases requiring hospital of microcirculation and ischemia of the pancreas are the main causes of pancreatic necrosis. There is currently no specific therapy of acute pancreatitis. Symptomatic therapy admissions worldwide. AP has an overall mortality of 1%, increasing to 30% in its severe form. Violation focuses on aggressive rehydration, early nutrition, acceptable analgesia, oxygenation, and use of antibiotics is the main treatment for OP. Increasing evidence shows benefits of TEA in animal AP: improved splanchnic and pancreatic perfusion, improved pancreatic microcirculation, reduced liver damage, and significantly reduced mortality. This article provides an overview of research on the use of thoracic epidural anesthesia in the treatment of acute pancreatitis.