Positioning of the Patient

Question 1

critical factors in positioning (2)

Answer 1

• maximum safety

- anesthesia provider has final word

Question 2

whose responsibility is it to position?

Answer 2

shared responsibility

Question 3

equipment that may be needed (4)

Answer 3

• belt (not lithotomy
• kidney rest/cross bar
• spinal frames
• sled

Question 4

additional considerations (7)

Answer 4

• 2 persons when patients awake
• ask permission
• guard catheters & IVs
• hyperextension of brachial plexus
• do not allow crossing of legs
• chest rolls (prone: breasts, appendages)
• accessibility of operative site

Question 5

table attachments (5)

Answer 5

• safety strap
• wrist strap
• kidney rest/brace or crossbar
• spinal frame (andrews, wilsons, four poster)
• chest rolls

Question 6

surgical positions (11)

Answer 6

• beach chair
• fowlers
• kraske/jack knife
• knee chest
• lateral kidney
• lithotomy (reg/low)
• prone
• sims
• supine
• trendelenburg
• trendelenburg reverse