Korean J Anesthesiol.  2000 May;38(5):931-935. 10.4097/kjae.2000.38.5.931.

Cardiovascular and Respiratory Instability Induced by Excessive Packing during Lower Abdominal Surgery: A case report

• Ryu KA
• Choi HS

• KMID: 1936310
• DOI: http://doi.org/10.4097/kjae.2000.38.5.931

Abstract

Retractor and packing usually aid to expose the surgical field and fascilitate surgical procedures. but excessive packing can impede venous return and reduce cardiac output. We experienced severe hypotension and ventilatory difficulty associated with excessive packing and traction in a patient undergoing radical hysterectomy. After removing the packing and extracting the intestine exterior to abdominal cavity, patient's ventilatory condition improved immediately and cardiovascular stability was achieved.

Keyword

Blood: hypoxemia; Blood pressure: hypotension; Carbon dioxide: hypercarbia; Complication: miscelaneous; packing; Ventilation: airway pressure

MeSH Terms

Abdominal Cavity
Cardiac Output
Humans
Hypotension
Hysterectomy
Intestines
Traction