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Chapter 27 - Fundamentals of Patient Positioning for Surgery

Published online by Cambridge University Press:  18 August 2022

Daniel Rodger
Affiliation:
Senior Lecturer in Perioperative Practice, London South Bank University
Kevin Henshaw
Affiliation:
Associate Head of Allied Health Professions, Edge Hill University, Ormskirk
Paul Rawling
Affiliation:
Senior Lecturer in Perioperative Practice, Edge Hill University, Ormskirk
Scott Miller
Affiliation:
Consultant Anaesthetist, St Helens and Knowsley Hospitals NHS Trust
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Summary

This chapter explains the aims of patient positioning and the complications that can arise from incorrectly positioning patients as well as the physiological changes different positions can cause. The correct positioning and alignment of limbs for surgical procedures is vital, and all perioperative practitioners should understand their role and responsibility for safe patient positioning, and the rationale for it. Safe patient positioning is always a multidisciplinary team effort, whereby all members of the perioperative team should be present in the operating theatre at the crucial moment.

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Publisher: Cambridge University Press
Print publication year: 2022

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References

Van Leeuwen, J. A. M. J., Snorrason, F., and Röhrl, S. M.. No radiological and clinical advantages with patient-specific positioning guides in total knee replacement. Acta Orthopaedica 2018; 89: 8994.CrossRefGoogle ScholarPubMed
Woodfin, K., Johnson, C., Parker, R., et al. Use of a novel memory aid to educate perioperative team members on proper patient positioning technique. AORN Journal 2018; 107: 325332.CrossRefGoogle ScholarPubMed
National Patient Safety Agency. How to Guide. Five Steps To Safer Surgery. London: National Patient Safety Agency, 2010.Google Scholar
Health and Care Professions Council. Operating Department Practitioners: Standards of Proficiency. London: Health and Care Professions Council, 2014.Google Scholar
Association of Surgical Technologists (AST). AST standards of practice for surgical positioning. Available from: www.ast.org/uploadedfiles/Main_Site/Content/About_Us/Standard%20Surgical%20Positioning.pdf.Google Scholar
Bidd, H., Dulai, R., Edelman, N., et al. The effect of intra-operative passive movement therapy on non-surgical site pain after breast reconstructive surgery: a preliminary study. Anaesthesia 2014; 69: 872877.CrossRefGoogle Scholar
Blackburn, A., Taghizadeh, R., Hughes, D., et al. Prevention of perioperative limb neuropathies in abdominal free flap breast reconstruction. Journal of Plastic, Reconstructive and Aesthetic Surgery 2016; 69: 4854.CrossRefGoogle Scholar
Mardell, A.. Patient positioning for surgery. In Hughes, S., and Mardell, A. (eds.), Oxford Handbook of Perioperative Practice. Oxford: Oxford University Press, 2011, pp. 325333.Google Scholar
Warland, J.. Back to basics: avoiding the supine position in pregnancy. The Journal of Physiology 2017; 595: 10171018.CrossRefGoogle ScholarPubMed
Souki, F., Rodriguez-Blanco, Y., Reddy Polu, S., et al. Survey of anaesthesiologists’ practices related to steep Trendelenburg positioning in the USA. BMC Anaesthesiology 2018; 18: 117.CrossRefGoogle ScholarPubMed
Takechi, K., Kitamura, S., Shimizu, I., et al. Lower Limb Perfusion during robotic-assisted laparoscopic radical prostatectomy evaluated by near-infrared spectroscopy: an observational prospective study. BMC Anaesthesiology 2018; 18: 114.CrossRefGoogle ScholarPubMed
Knight, D. J. W., and Mahajan, R. P.. Patient positioning in anaesthesia. Continuing Education in Anaesthesia Critical Care and Pain 2004; 4: 160163,CrossRefGoogle Scholar
Bowers, M.. Prone position for surgery. Journal of Perioperative Practice 2012; 22: 157162.CrossRefGoogle ScholarPubMed
Epstein, N. E.. Perioperative visual loss following prone spinal surgery: a review. Surgical Neurology International 2016; 7: S347S360.CrossRefGoogle ScholarPubMed
Edgcombe, H., Carter, K., and Yarrow, S.. Anaesthesia in the prone position. British Journal of Anaesthesia 2008; 100: 165183CrossRefGoogle ScholarPubMed
Coppo, A., Bellani, G., Winterton, D., et al. Feasibility and physiological effects of prone positioning in non-intubated patients with acute respiratory failure due to COVID-19 (PRON-COVID): a prospective cohort study. Lancet Respiratory Medicine 2020; 8: 765–774.CrossRefGoogle ScholarPubMed
Stornelli, N., Wydra, F., Mitchell, J., et al. The dangers of lithotomy positioning in the operating room: case report of bilateral lower extremity compartment syndrome after a 90-minute surgical procedure. Patient Safety in Surgery 2016; 10: 18.CrossRefGoogle Scholar

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