Review Note
Last Update: 02/17/2025 02:42 AM
Current Deck: ACG Part 2::Thoracic SSU
New Card (Unpublished)Currently Published Content
Front
Back
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Pending Suggestions
Field Change Suggestions:
Front
Commit #284676
SS_TS 1.7 Describe the techniques used to position patients for thoracic surgery and to minimise risk of postoperative position-related injury
Back
Commit #284676- Majority performed in lateral position
- Sometimes in supine, semisupine, semiprone lateral position
- Anaesthetist should be responsible for head, neck and airway during position change and in charge of OT team to direct repositioning
- “Head-to-toe” survey of patient after induction & intubation, and repositioning
- Equipment – all lines and monitors will have to be secured during position change and their function reassessed after positioning
- Check position of DLT or bronchial blocker post position change for position of tube, and adequacy of ventilation
Lateral Decubitus Position (often with broken table)
- Position
- Minimise risk of post-operative position related injury
- Nerves :
- Radial nerve : when shoulder abducted to >90 degrees for suspended are. Can be supported with designed rests of upper arm can hug a billow
- common peroneal : Can be pressed between table and fibular head. Should be padded
- Saphenous : place padding between legs
- Brachial plexus : support head in neutral
- Excessive pressure at hip can compress sciatic nerve
- Prevent compression of the lower arm
- Caudad to the axilla on the rib cage - placed in the axilla can lead to brachial plexus neuropathy
- Ensure ear not folded
- Padding pressure areas
- Eyes : tape shut and prevent compression
https://resources.wfsahq.org/atotw/patient-positioning-during-anaesthesia/
Gold coast notes.