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Anesteziol Reanimatol. 2013 Sep-Oct;(5):42-6.

[Prediction of intra-abdominal hypertension risk in patients with acute colonic obstruction under epidural analgesia].

[Article in Russian]

Abstract

Purpose of the study was to identify prediction possibility of direct current potential level for intra-abdominal hypertension risk in patients with acute colonic obstruction under preoperative epidural analgesia.

MATERIALS AND METHODS:

Prospective analysis of the preoperative period was carried out in 140 patients with acute colonic obstruction caused by colon cancer.

RESULTS:

Relations between preoperative level of permanent capacity and risk of intra-abdominal hypertension was identified Direct current potential level is an independent predictor of intra-abdominal hypertension. Diagnostic significance increases from first to fifth hour of preoperative period according to AUROC data from 0.821 to 0.905 and calibration 6.9 (p > 0.37) and 4.7 (p > 0.54) by Hosmer-Lemeshou criteria. The use of epidural analgesia in the complex intensive preoperative preparation is pathogenically justified. It reduces intra-abdominal hypertension in patients with acute colonic obstruction.

PMID:
24624857
[Indexed for MEDLINE]
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