Extubation at Sitting versus Supine Position after Septoplasty Operation

Abstract

Background: Tracheal extubation usually causes problems for patients while supine position, but sitting may reduce stress. The aim of this clinical trial study was to evaluate the two supine and sitting methods of different intubation positions in patients undergoing septoplasty.

Materials and methods: We enrolled sixty patients with candidated for elective septoplastic surgery with general anesthesia. All patients were anesthetized with propofol and morphine. After surgery, all patients were transferred to the care unit. Patients were then randomly put into the sitting or supine position while 100% oxygen was administered. The two groups were examined for physiological variables and the data were analyzed using statistical software.

Results: In comparison with the supine position, the sitting position significantly decreased endotracheal suctioning and oxygen desaturation at all intervals after extubation (P = 0.008, 0.04, respectively), decreased systolic blood pressure and heart rate (P = 0.063, P = 0.052) after extubation. whilst recovery agitation was similar in both Groups.

Conclusion: Tracheal extubation in the sitting position is associated with reduced endotracheal suctioning and oxygen desaturation, Patient extubation in sitting position after septoplasty operation accompany with better patient condition and outcome than supine position.