Positions Flashcards
What are the positions used in surgery?
Supine, lithotomy, sitting, prone, and lateral.
Potential pressure points for Lateral?
Ear, Acronium Process, Ribs, Ilium, Medial/Lateral Condyles (outer knee), Malleolus (outer ankle
Potential pressure points for Prone?
Cheek and ear, Acronion process, Breasts, Genitalia (men), Patella, Toes
Potential pressure points for Sitting?
Scapulae, Ischial Tuberosities (sitting bone), Back of knee, Calcaneus (heel bone)
Potential pressure points for Supine?
Occiput (back of skull), Scapulae, Thoracic Vertebra, Olecranon (elbow), Sacrum and Coccyx, Calcaneus (heel bone)
Why is the Anaesthetised patient at greater risk of pressure sores?
General anaesthetic and regional blocks prevent the body’s normal defines of pain from warning of exaggerated stretching, twisting, compression of body parts
Who is responsible for patient positioning?
Peri-op nurse
Name 3 Pneumatic Sequential Compression devices?
TEDS flowtrons, antiembolism stockings
Which position can risk causing damage to the Brachial Plexus?
Supine position with one or both arms extended on arm boards is most common
When can injury occur to the Brachial Plexus?
injury can occur if arm is positioned or accidentally moved so that it is hyperabducted, or when shoulder braces are impropery applied (causing compression of the brachial plexus)
What is the symptoms of damage to the Brachial Plexus?
Motor and sensory loss to the arm and shoulder may occur postop if damage has occurred.
What position can risk damage to the ulnar nerve?
Supine
When can injury occur to the Ulnar nerve?
damage may occur if elbow slips off bed and nerve is compressed between table and medial epicondyle (secure arm to minimise risk)
What is the symptoms of damage to the Ulnar nerve?
Tingling, pain, and numbness in fourth and fifth fingers, severe injury can result in a weak grip on contractors (claw hand)
Which position risks damage to the Peroneal Nerve?
Lithotomy Position
