Lloyd Davies

Question 1

Hazards of lloyd davies

Answer 1

1. Calf compression is inevitable. Patient is at risk for DVT and compartment syndrome. Need to lower legs for 5-10 mins if patient in position for >30misn
2. Risk of crushed fingers if resting arms by patient side when end section of table is replaced
3. ET tube may move on sliding patient down table

Question 2

Lithotomy post op complaints

Answer 2

Painful hips ( lack of mobility, arthritic bones due to age)
Painful ankles
painful sacrolumbar regions

Question 3

What is compartment syndrome

Answer 3

Calf compression causes venous and tissue pressures to rise. Arterial inflow blocked leading to ishaemia and acid metabolic by product increase causing disruption of cell membranes. All these issues can in a closed compartment leat to compartment syndrome which may cause permanent neuromuscular damage

Rule of 2 compression devices so remove compression stocking when in Lloyd Davies

Question 4

Hazards of Positioning

Answer 4

1. Circulatory

Question 5

Difference between Lloyd Davies and Lithotomy

Answer 5

Degree of hips and knees flexion is less

Different foot and leg stirrups