Health Condition 1: Z488- Encounter for other specified postprocedural aftercare
Conditions
Interventions
Intervention1: Group SF30 (30 Degree Head Up Position): Patients will undergo tracheal extubation in a 30 degree head up semi Fowler position. The assigned position will be maintained for at least 5 m
Sponsors
Dr S N medical college, Jodhpur
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients aged 18 to 65 years of either sex. ASA physical status I to III. Body mass index 18 to 30 kilogram per square meter. Patients scheduled for elective or emergency open abdominal surgery with midline incision from 10 to 20 centimetres under general anaesthesia with endotracheal intubation and planned on table tracheal extubation. Ability to understand and cooperate with postoperative pain and comfort assessment using visual analogue scale.
Exclusion criteria
Exclusion criteria: Anticipated need for postoperative mechanical ventilation or planned immediate intensive care unit admission. Haemodynamic instability at the time of skin closure. Pregnancy. Known or anticipated difficult airway, symptomatic gastro oesophageal reflux disease or high aspiration risk. Significant pre existing respiratory compromise or severe obstructive or restrictive lung disease. Major chest trauma, unstable spine or orthopaedic conditions precluding safe head up positioning. Known coagulopathy or bleeding disorder. Emergency surgeries requiring planned postoperative mechanical ventilation or where protocolized extubation positioning cannot be ensured.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient comfort assessed using Visual Analogue Scale scoreTimepoint: At 5 minutes, 30 minutes and 60 minutes after extubation and at PACU discharge | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of severe cough and bucking during and within 5 minutes after tracheal extubationTimepoint: During extubation and within 5 minutes after extubation;Need for airway suctioningTimepoint: During extubation and immediate postoperative period;Incidence of postoperative nausea vomiting and emergence agitationTimepoint: During PACU stay;Haemodynamic changes including heart rate and mean arterial pressure around extubationTimepoint: Pre extubation, 1 minute and 5 minutes after extubation;Incidence of oxygen desaturation and need for airway maneuversTimepoint: Within 5 minutes after extubation and during PACU stay;Postoperative wound pain assessed using Visual Analogue ScaleTimepoint: At 5 minutes, 30 minutes and 60 minutes after extubation and at PACU discharge | — |
Countries
India
Contacts
Public ContactJeevan Suresh Mogali
Dr S N medical college, Jodhpur
Outcome results
None listed