Patient Positioning | The University Of Western Ontario - Edubirdie

University:
The University Of Western Ontario
Course:
Pathology 3500B | Human Pathology
Academic year:

2023
Views:

114

Pages:

2
Author:

Kyuwon J.

Patient positioning in surgery ● Supine ○ Dorsal Decubitus ■ Common, most abundant ■ Patient lies flat on back ■ Used for abdominal, cardiac, thoracic surgeries ■ Pressure in ulcer could lead to plexus injury if it is improperly extended ● Prone ○ Patient lies face down ■ Used for abdominal, cardiac surgeries ■ Posterior fossa exposed therefore could be also used for thoracic surgeries ■ Risk in airway difficulties, and blindness ■ Could be brachial plexus injury if incorrectly carried out ● Lateral Decubitus ○ Patient on side ■ Used for thoracotomy, and renal surgeries + hip replacement ■ Risk in peroneal nerve injury ■ Compartment syndrome is also a risk for vulnerable patients ● Comes with hip dislocations ● Lithotomy ○ Legs elevated using stirrups ○ Candy cane + Boot ■ Used for gynecologic, urologic, colorectal surgery ■ Follows with peroneal nerve injury ■ Hip dislocation also is possible ● Trendelenburg ○ Head down tilt ■ Lower abdominal pelvic surgery ■ Increase in intracranial pressure = airway swelling = respiratory tract compromised ● Reverse Trendelenburg ○ Heads up tilt ■ Used for upper abdominal surgery, laparoscopic cholecystectomy ■ Risk in hypotensions and venous pooling in the lower limbs

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