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Physiological effects of liver packing
R P Brislin1, J Stemm, S Brotman
1Department of Surgery, Geisinger Medical Center, Danville, Pennsylvania, USA.
The American Surgeon
|May 1, 1995
Summary
Liver packing can negatively impact hemodynamics and oxygenation. Removing liver packs led to improved patient physiology in two reported cases.
Area of Science:
- Hepatobiliary Surgery
- Surgical Hemostasis
- Critical Care Medicine
Background:
- Liver packing is a surgical technique to control hepatic hemorrhage.
- Potential complications include compromised hemodynamics and oxygenation.
Observation:
- Two cases of hepatic hemorrhage management using liver packing were reviewed.
- Patients experienced negative hemodynamic and oxygenation changes during packing.
Findings:
- Physiologic parameters improved significantly after the removal of liver packs.
- This suggests liver packing may have detrimental effects on patient stability.
Implications:
- Consideration of liver pack removal as a strategy to improve patient outcomes.
- Further research into alternative methods for hepatic hemorrhage control.
- Highlighting the importance of monitoring hemodynamics and oxygenation during liver packing.