The use of prolonged epidural infusion of bupivacaine to reduce the signs of intra-abdomibal hypertension, to improve blood flow in great abdominal vessels and to carry out adequate analgesia in the early postoperative period in children with oncopathology
Vinnytsya National Medical University named after M.I. Pirogov
Summary. 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 was used; in the second group, only continuous intravenous infusion of fentanyl was used. Multicomponent 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 intra-abdominal hypertension syndrome and improves blood flow in the vessels of the abdomen.
Key words: analgesia, intra-abdominal hypertension, resistance index.