comparison of pain experienced by patients when placed in supine and semi-fowler’s position during extubation and immediate post operative period following abdominal surgeries: a one year hospital based randomised clincial trial

Abstract

BACKGROUND: The Anaesthetic Management of Laparoscopic surgeries usually consist of General Anaesthesia with intubation done using an endotracheal tube. The patients may experience severe pain in the immediate post-operative period and this may delay recovery and lead to increased morbidity and hospital stay. Pain in these patients is managed with IV analgesics including opioids, NSAIDs and Paracetamol and various fascial plane blocks. The Semi-Fowler’s Position, involves raising the head end of the patient to 30 degrees. The Semi-Fowler’s position, results in the caudal displacement of the diaphragm and in the better approximation of the surgical incisions of the abdomen. Hence, this may lead to reduced pain. This study hence aims to compare the pain experienced by the patients when placed in Semi-Fowler’s position during extubation and immediate post-operative period.