I.N. Akhmetov1,2, S.I. Spiridonov1, R.A. Gilfanova1, R.A. Gilfanova1, R.A. Zefirov1
1Republican Clinical Hospital, Kazan
²Kazan State Medical Academy ― Branch Campus of the FSBEI FPE RMACPE MOH Russia, Kazan
Akhmetov Irek N. — Head of the Department of X-ray Surgical Methods of Diagnosis and Treatment №2 of the Republican Clinical Hospital
138 Orenburgskiy tract, building A, Kazan, 420064, Russian Federation, tel. +7-917-87379-43, e-mail: email@example.com
Abstract. Acute pancreatitis remains an actual problem of emergency abdominal surgery, occupies the third place in the structure of acute surgical pathology and is inferior to acute appendicitis and gallbladder pathology, and is up to 10-16%. Most patients with acute pancreatitis have a mild course of the disease, but in 20-30% of cases there is a severe form with organ failure, requiring intensive care. Current trends in the treatment of severe acute pancreatitis have changed our approach to applying the principles of multimodal analgesia. This clinical observation demonstrates the experience of using ultrasound-guided paravertebral blockade in the treatment of severe acute pancreatitis.
Key words: severe acute pancreatitis, thoracic epidural block, paravertebral block.