6/22/09
Objectives
Preoperative interview
Preplanning
Positioning Devices
Positioning/protective
devices
Chest rolls
Gel pads
Pillows
Arm boards
Slotted head rests
Eye shields
Tape
Safety straps
Positioning/protective
devices
7
McEwen,D.R. (1996). Intraoperative positioning of surgical patients. AORN, 63(6), 1058-1079.
Positioning help
Four is the
Minimum
number
For positioning
A patient in
The prone
Position.
9
McEwen,D.R. (1996). Intraoperative positioning of surgical patients. AORN, 63(6), 1058-1079.
10
Walton-Geer, P.S. (2009). Prevention of pressure ulcers in the surgical patient. AORN, 89(3), 538-548.
11
Walton-Geer, P.S. (2009). Prevention of pressure ulcers in the surgical patient. AORN, 89(3), 538-548.
12
McEwen,D.R. (1996). Intraoperative positioning of surgical patients. AORN, 63(6), 1058-1079.
Physiologic effects
Cardiovascular system
Decreased preload
Respiratory system
Broad positive effect on resp.
FRC and oxygen tension both increase
Loss of airway (extubation, kinked tube.)
Ineffective chest expansion
Neuro/vascular/musculo-skeletal injuries
Peripheral nerve injury
Occlusion of pulses
Muscle/spinal injuries.
13
Potential sources of
injury
Pressure injuries
Eyes
Nose
Forehead
Chest
Arms
Breasts
Genitalia
Pelvis
Knees
Feet
14
Intraoperative
assessment
16
Documentation
Preoperative assessment
Type of positioning
Padding devices used
Names and titles of persons
positioning the patient
Postoperative outcome evaluation
17
18
References
AORN Journal. Recommended practices for positioning the
patient in the perioperative practice setting. AORN, 73(1),
231-238.
Edgecombe, H., Carter, K., & Yarrow S. (2008). Anaesthesia in
the prone position. British Journal of Anaesthesia, 100(2),
165-183.
McEwen,D.R. (1996). Intraoperative positioning of surgical
patients. AORN, 63(6), 1058-1079. 27
Phillips,N. (2007). Berry & Kohns Operating room technique
(11th ed.). St. Louis: Elsevier. (Original work published 1955)
Rothrock, J.C. & Tighe, S.M. (2007). Alexanders care of the
patient in surgery (13th ed.). Elsevier Health Sciences.
Walton-Geer, P.S. (2009). Prevention of pressure ulcers in the
surgical patient. AORN, 89(3), 538-548.
19