COMPARISON OF SUPINE VERSUS SEMI-FOWLER'S POSITION DURING EXTUBATION AND RECOVERY IN THE POST-ANESTHESIA CARE UNIT FOLLOWING ABDOMINAL SURGERIES

Abstract

This study investigates the effects of patient positioning (supine vs. semi-Fowler’s) during extubation and in the post-anesthesia care unit (PACU) on recovery outcomes following abdominal surgeries. The choice of position may influence respiratory function, comfort, and the incidence of complications.We conducted a randomized controlled trial involving 100 adult patients undergoing elective abdominal surgery. Participants were assigned to either the supine group or the semi-Fowler's group during extubation and recovery. Primary outcomes included respiratory rate, oxygen saturation (SpO2), and the occurrence of complications such as airway obstruction and desaturation. Secondary outcomes involved patient comfort and the need for supplemental oxygen.Results indicated that patients in the semi-Fowler's position exhibited improved oxygen saturation levels and reduced respiratory rates compared to those in the supine position. Additionally, the semi- Fowler's group reported higher comfort scores and a lower incidence of airway complications.In conclusion, positioning patients in the semi-Fowler's position during extubation and recovery in the PACU significantly enhances respiratory function and comfort, suggesting its advantages for postoperative care following abdominal surgeries.Keywords: extubation, semi-Fowler's position, supine position, post-anesthesia care unit, abdominal surgeries