DOI: 10.36347/sjams.2016.v04i04.052

Pages: 1384-1391

Postoperative pulmonary complications (PPCs) are defined as pulmonary abnormalities occurring in postoperative period which produce clinically significant, identifiable disease or dysfunction that adversely affects the patients’ clinical course and manifests in changes in blood gases coefficients. Upper abdominal surgical procedures are associated with a high risk of postoperative pulmonary complications (PPCs) which manifest in the ABG (arterial blood gases) of the patients. Despite recent advances in preoperative management, postoperative respiratory morbidity is still a common problem especially following upper abdominal surgery. The objective is to study the risks of postoperative complications, a pre-operative medical evaluation of the patients was done by performing ABG (arterial blood gases) both pre and post operatively and study the changes in them. The Aim is to see the impact of upper abdominal surgeries (cholecystectomy or gastrectomy) on post-arterial blood gas (ABG) in elderly patients. To compare and analyse the change in ABG parameters preoperatively and post operatively. In methods we performed a randomly controlled prospective hospital study including eighty patients. Patient’s ≥ 60 years of age were taken randomly of both the sexes which were of ASA status 2 to 3, planned for elective, non-laparoscopic, upper abdominal surgeries (cholecystectomy or gastrectomy). The selected individuals were subjected to preoperative assessments and ABG preoperatively. After surgery and proper recovery from the anesthesia ABG was again carried out in the post-operative period on the first and second post-operative days as was done pre-operatively and the changes in their ABGs were noted.