Study of preoperative and intra operative factors associated with post operative mechanical ventilation following elective abdominal surgery
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 8, Issue 2
Abstract
Background: Most severe form of post operative pulmonary complications is acute respiratory failure, a condition in which respiratory system fails in gas exchange function. Unscheduled admission to the ICU is also a problem due to the non availability of the ventilated ICU bed. Endotracheal intubation and mechanical ventilation is not without serious risks as it can lead to nosocomial infections, multi organ failure and even death at times.AimThe aim of the study is to identify the preoperative and intra operative factors associated with post operative mechanical ventilation following elective abdominal surgery.Materials and methods: This prospective observational study was performed on 86 consecutive patients undergoing elective abdominal surgeryResults: There is association between the need for post operative mechanical ventilation and duration of hospital stay prior to surgery, serum albumin, loss of weight >10% preoperatively, more than 2units blood transfusion during surgery, upper abdominal incision site, duration of surgery, and open abdominal surgical procedure. Multiple regression analysis further identified only two of the seven variables to be significant ie preoperative duration of hospitalization and loss of weight more than 10% in last 6 months.Conclusion: Identifying risk factors for post operative mechanical ventilation pre operatively is a crucial step in the peri operative management of the patients undergoing abdominal surgery under general anaesthesia. Instead of emergency admission to the ICU at the cost of tremendous increase in the anxiety both for the patient and as well as relatives and also the surgeon too
Authors and Affiliations
Mohan P Murali, Uthkala Bhaskar Hegde, Ajay Kumar Reddy Bobba
Keywords
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- EP ID EP449563
- DOI 10.26611/1015823
- Views 136
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