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 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. Intensive haemodynamic monitoring is advisable.
Shelly
M P
MP
Robinson
A A
AA
Hesford
J W
JW
Park
G R
GR
D000005:Abdomen / Q000601:surgery*; D000328:Adult; D001803:Blood Transfusion; D006439:Hemodynamics; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007813:Laparotomy; D016031:Liver Transplantation; D008297:Male; D011183:Postoperative Complications / Q000503:physiopathology / Q000601:surgery*; D011312:Pressure; D013566:Sympathomimetics / Q000627:therapeutic use
D013566:Sympathomimetics