Issue 13

TEMPI syndrome is a rare plasma cell paraneoplastic syndrome that mainly manifests as telangiectasias, monoclonal gammopathy, elevated erythropoietin levels and erythrocytosis, perinephric fluid collection and intrapulmonary shunting.

1.1. Background and Purpose: Stroke-associated pneumonia (SAP) is a disease with a high incidence in Intensive Care Unit (ICU), which seriously threatens people’s health. However, there is no effective prevention method for SAP.

Recently, active research has been conducted in the schemes of multimodal anesthesia of new methods of regional anesthesia based on myofascial blocks. Such blocks include the blockade of the transverse abdominal space (Transversus abdominis planet block – TAR). The advantage of this anesthesia is ease of imple mentation, low risk of complications, impact on the initial stages of pain syndrome, which provides a stress-limiting effect [1]. At the same time, the TAP block does not provide blockade of vis ceral nociceptive impulses, but significantly reduces the severity of the somatic component of pain.