Title
Tracheal extubation in midline incision abdominal surgery: Supine versus semi-fowler's position
Authors
Shalini Jain, Prayag Goyal* & Mohan Babu Nema
Affiliation
Department of Anaesthesia, MGM Medical College, Indore, Madhya Pradesh, India; *Corresponding author
Shalini Jain - E-mail: drshalininjain@gmail.com
Prayag Goyal - E-mail: prayaggoyal.bd@gmail.com
Mohan Babu Nema - E-mail: mohannema718@gmail.com
Article Type
Research Article
Date
Received July 1, 2026; Revised July 31, 2026; Accepted July 31, 2026, Published July 31, 2026
Abstract
Extubation after midline abdominal surgery may cause coughing, bucking, secretion retention and early airway events. This randomised comparative study included 100 patients undergoing midline abdominal surgery under general anaesthesia, with 50 patient's extubated in supine position and 50 in semi-Fowler's position. Comfort score was higher in the semi-Fowler's group at 10 minutes (2.9 ± 1.0 vs 2.4 ± 1.0, p = 0.03) and 30 minutes (3.4 ± 1.0 vs 2.9 ± 1.1, p = 0.04), while bucking (5 (10.0%) vs 14 (28.0%), p = 0.022) and severe coughing (5 (10.0%) vs 11 (22.0%), p = 0.04) were lower. Thus, data shows that oxygen saturation, mean arterial pressure, vomiting, hypotension, suctioning requirement and airway rescue were comparable, suggesting that semi-Fowler's position is a safe and useful alternative for tracheal extubation after midline abdominal surgery.
Keywords
Tracheal extubation, semi-fowler's position, supine position, general anaesthesia, abdominal surgery
Citation
Jain et al. Bioinformation 22(7): 4270-4273 (2026)
Edited by
P Kangueane
ISSN
0973-2063
Publisher
License
This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.
