The effect on arterial blood gases and heart rate of bilateral nasal packing

Ogretmenoglu O., Yilmaz T., Rahimi K., Aksoyek S.

EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, vol.259, no.2, pp.63-66, 2002 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 259 Issue: 2
  • Publication Date: 2002
  • Doi Number: 10.1007/s00405-001-0422-1
  • Page Numbers: pp.63-66


In order to elucidate the blood gas and heart rate changes caused by bilateral nasal packing, 21 healthy subjects who had had septoplasty or septorhinoplasty were investigated with pre- and post-operative blood gas measurements and 24-h Holter monitoring. Nasal packing caused a significant decrease in O-2 saturation (P < 0.05), a borderline decrease in PO2 (P = 0.09), insignificant changes in PCO2, pH and HCO3 (P > 0.05), a significant increase in minimum and mean heart rates (P < 0.05) and insignificant changes in maximum heart rates; however, further research is necessary to elucidate the direct cause-and-effect relationship. No serious arrhythmias were observed. Although these changes may be within normal levels for healthy subjects, they may have serious consequences for patients with cardiopulmonary diseases.