Volume5, Issue1
Impact of nasal packing on arterial blood gases and acid base balance
Author: Leena Goel, Harish Chander Goel, Archan Naik
Abstract: Nasal packing is a routine procedure for treatment of epistaxis and after surgery in the nasal cavity and is associated with several local and systemic effects in the nose. Effect of nasal packing was studied on arterial blood partial pressure of oxygen (pO2), carbon dioxide (pCo2, bicarbonate (HCo3), acidity (pH) and haemoglobin (Hb) levels. One hundred ten patients had anterior nasal packing as part of management of epistaxis or following nasal surgery. It included 10 patients with chronic obstructive pulmonary disease (COPD). Hypoxemia was observed in all patients. Patients with COPD showed hypoxaemia along with hypercarbia and change in acid base balance. Study emphasis the need of close monitoring in patients with compromised lung functions subjected to nasal packing. Nasal packing with ventilation tube is recommended.
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