دورية أكاديمية
Frequency of Airway Complications with Modified Recovery Position versus Conventional Recovery position for Extubation after General Anaesthesia.
| العنوان: | Frequency of Airway Complications with Modified Recovery Position versus Conventional Recovery position for Extubation after General Anaesthesia. |
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| المؤلفون: | Hussain A; Department of Anaesthesia, Combine Military Hospital, Kohat, Pakistan., Wahid F; Department of Anaesthesia, Combine Military Hospital, Peshawar, Pakistan., Feroze R; Department of Anaesthesia, Combine Military Hospital, Lahore, Pakistan., Wazir M; Department of Anaesthesia, Combine Military Hospital, Kohat, Pakistan., Rana S; Department of Anaesthesia, Armed Forces Institute of Ophthalmology, Rawalpindi, Pakistan., Munir AA; Department of Anaesthesia, Combine Military Hospital, Bahawalpur, Pakistan. |
| المصدر: | Journal of the College of Physicians and Surgeons--Pakistan : JCPSP [J Coll Physicians Surg Pak] 2024 Aug; Vol. 34 (8), pp. 989-992. |
| نوع المنشور: | Journal Article; Comparative Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: College of Physicians and Surgeons Pakistan Country of Publication: Pakistan NLM ID: 9606447 Publication Model: Print Cited Medium: Internet ISSN: 1681-7168 (Electronic) Linking ISSN: 1022386X NLM ISO Abbreviation: J Coll Physicians Surg Pak Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Karachi : College of Physicians and Surgeons Pakistan, |
| مواضيع طبية MeSH: | Airway Extubation*/adverse effects , Anesthesia, General*/methods , Anesthesia Recovery Period*, Humans ; Male ; Female ; Adult ; Middle Aged ; Pakistan ; Patient Positioning/methods ; Intubation, Intratracheal/methods ; Intubation, Intratracheal/adverse effects ; Cough ; Postoperative Complications/epidemiology |
| مستخلص: | Objective: To compare the frequency of respiratory complications encountered in two different positions used for extubation i.e. conventional recovery position versus the modified recovery position (recovery position with 10-degree left tilt and head-down). Study Design: Comparative study. Place and Duration of the Study: Department of Anaesthesia, Combine Military Hospital, Kohat, Pakistan, from April 2022 to March 2023. Methodology: Two hundred patients scheduled for elective nose and throat surgeries were equally divided into two groups (Group C and Group M). Patients with history of bronchial asthma, chronic obstructive pulmonary disease (COPD), recent respiratory infection, and gastro-oesophageal reflux disease (GERD) were excluded from this study. Patients with more than two intubation attempts were also excluded. Group C patients were extubated in a conventional left lateral recovery position, whereas Group M patients were extubated in a modified recovery position with patient in a left lateral position with 10-degree head-down and 10-degree left tilt. All patients were observed for persistent coughing (coughing that lasted for at least 2 minutes after extubation), breath holding for 20 seconds or more, desaturation (oxygen saturation less than 90%), laryngospasm, need for reintubation, vomiting, and regurgitation. Results: Frequency of airway complications was significantly higher in Group C as compared to Group M. In Group C, 18 (18%) out of hundred patients had complications compared to 6 (6%) patients only in Group M (p = 0.009). Conclusion: Extubation in a modified recovery position is associated with reduced frequency of airway complications as compared to the conventional recovery position. Key Words: Airway complications, Extubation, Cough, Laryngospasm, Recovery position. |
| تواريخ الأحداث: | Date Created: 20240808 Date Completed: 20240808 Latest Revision: 20240808 |
| رمز التحديث: | 20240808 |
| DOI: | 10.29271/jcpsp.2024.08.989 |
| PMID: | 39113522 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1681-7168 |
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| DOI: | 10.29271/jcpsp.2024.08.989 |