title: [Prediction of intra-abdominal hypertension risk in patients with acute colonic obstruction under epidural analgesia].
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.
  
  
  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.
authors.forename: A V
authors.initials: AV
authors.lastname: Stakanov
authors.forename: E A
authors.initials: EA
authors.lastname: Potseluev
authors.forename: T S
authors.initials: TS
authors.lastname: Musaeva
mesh_terms: D015360:Analgesia, Epidural; D003108:Colonic Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D059325:Intra-Abdominal Hypertension / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D008365:Manometry / Q000379:methods*; D008991:Monitoring, Physiologic / Q000379:methods; D011300:Preoperative Care / Q000379:methods*; D011379:Prognosis; D011446:Prospective Studies; D012306:Risk; D012680:Sensitivity and Specificity