Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Association Between Intraoperative Fluid Management and Postoperative Respiratory Complications: An Observational Study in Patients Undergoing Major Abdominal Surgery
Dasari Preethi, Gone Naveen Kumar, Madgula Shravan Kumar and Geetha Channaram
Page: 568-572 | Received 09 Jul 2024, Published online: 31 Aug 2024
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Abstract
Intraoperative fluid management is a critical aspect of perioperative care that can significantly impact postoperative outcomes, particularly respiratory complications. This study investigates the association between intraoperative fluid administration and the incidence of postoperative respiratory complications in patients undergoing major abdominal surgery. An observational study was conducted on 100 patients who underwent major abdominal surgery. Patients were divided into two groups based on the volume of intraoperative fluid received: Group A (<3,800 mL) and Group B (>3,800 mL). Postoperative respiratory complications, including pneumonia, atelectasis and respiratory failure requiring mechanical ventilation, were recorded. Secondary outcomes included the length of hospital stay and mortality rates. Statistical analysis was performed to assess the relationship between fluid management and respiratory complications. Respiratory complications were observed in 25 patients (25%). Group A had 8 patients (16%) with complications, while Group B had 17 patients (34%) with complications. Pneumonia was the most common complication (12%), followed by atelectasis (8%) and respiratory failure (5%). The median length of hospital stay was 7 days in Group A and 10 days in Group B. The overall mortality rate was 2%. A significant association was found between higher intraoperative fluid administration and an increased risk of respiratory complications (p=0.03). Excessive intraoperative fluid administration is associated with a higher incidence of postoperative respiratory complications in major abdominal surgery. Optimizing fluid management during surgery may reduce these complications and improve patient outcomes.
How to cite this article:
Dasari Preethi, Gone Naveen Kumar, Madgula Shravan Kumar and Geetha Channaram. Association Between Intraoperative Fluid Management and Postoperative Respiratory Complications: An Observational Study in Patients Undergoing Major Abdominal Surgery.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.9.568.572
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.9.568.572