하복부 수술 중 과도한 충전에 의한 심혈관계 및 호흡계 불안정

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, patients ventilatory condition improved immediately and cardiovascular stability was achieved. (Korean J Anesthesiol 2000; 38: 931~935)