HAEMODYNAMIC EFFECTS FOLLOWING SURGICAL RELEASE OF INCREASED INTRA-ABDOMINAL PRESSURE

The haemodynamic indices of three patients, who developed abdominal tamponade as a result of intra-abdominal bleeding following liver transplantation, were measured on four occasions as the increased intra-abdominal pressure was released. Hypotension followed the release of the tamponade in all pati...

Full description

Saved in:
Bibliographic Details
Published in:BJA: British Journal of Anaesthesia 1987, Vol.59 (6), p.800-805
Main Authors: SHELLY, M. P., ROBINSON, A. A., HESFORD, J. W., PARK, G. R.
Format: Report
Language:English
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The haemodynamic indices of three patients, who developed abdominal tamponade as a result of intra-abdominal bleeding following liver transplantation, were measured on four occasions as the increased intra-abdominal pressure was released. Hypotension followed the release of the tamponade in all patients and was the result of a decrease in systemic vascular resistance. This was treated with vasoconstrictors; the response to various agents was monitored. Treatment of hypotension following release of abdominal tamponade by volume replacement alone may be inappropriate and may lead to over-transfusion; adrenaline may be the treatment of choice. Intensivemonitoring is advisable.
ISSN:0007-0912
1471-6771
DOI:10.1093/bja/59.6.800