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Korean J Anesthesiol > Volume 38(5); 2000 > Article
Korean Journal of Anesthesiology 2000;38(5):931-935.
DOI: https://doi.org/10.4097/kjae.2000.38.5.931   
Cardiovascular and Respiratory Instability Induced by Excessive Packing during Lower Abdominal Surgery: A case report.
Kyung A Ryu, Hae Sung Choi
Department of Anesthesiology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
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.
Key Words: Blood: hypoxemia; Blood pressure: hypotension; Carbon dioxide: hypercarbia; Complication: miscelaneous; packing; Ventilation: airway pressure
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