Lithotomy
You should look to this OR team member for them to indicate safety to move patient for positioning
Who is the anesthesia provider?
This should be placed under the patient's dependent thorax, distal to the axillary fold, at 7th -9th rib level when placed in the lateral position
What is an axillary roll?
These body parts can become twisted and/or compressed during positioning and should be assessed prior to prepping and draping of patient.
What are testicles and breasts?
You should position the patient's legs this way when placing them in the supine position.
What is parallel and ankles uncrossed?
Where should you place padding for this position?
What is arms, under legs, & heels?
You should do this to prevent lower back strain and venous system hemodynamic changes when placing a patient in lithotomy position
What is lift the legs at the same time?
When positioning legs for lateral position the bottom leg should have padding placed in these areas
What is the knee, and ankle?
When in jackknife position, careful padding and positioning are critical to prevent injury to this nerve?
What is the common peroneal nerve?
If extending arms on padded arm boards, place palms facing up and fingers extended, ensuring arms are abducted less than what degrees to decrease risk of brachial plexus injury.
What is 90 degrees?
Where should safety straps be placed when in this position?
What is hips & lower thigh?
Injury to hands and fingers can occur if not properly padded when you do this.
What is tucking the arms?
When positioning the top arm, it should be level with this body part?
What is the shoulder?
When placing arms on arm boards, what position should you keep the shoulders in?
What is a neutral position?
Safety straps should be placed approximately these many inches above the patient's knees when in the supine position.
What are 2 inches above the knees?
When hip flexion is allowed, it prevents compression of this nerve
What is the sciatic nerve?
These patients have additional chest weight and abdominal pressure leading to an increased respiratory workload and increased risk for aspiration.
Who are obese patients?
It is advised not to use this in place of an axillary roll due to risk of leakage and risk of pressure injury or burns during use of electrocautery.
What is an IV bag?
Secure padded safety straps across these body parts to avoid popliteal fossa compression.
What is thighs and/or lower legs?
Tucking arms can increase the risk of this syndrome if sheet is tucked too tightely
What is compartment syndrome?
The head, neck, and torso should be supported in the neutral position to prevent stress on this part of the spine.
What is the cervical?
Avoid over flexing patient’s hip to prevent compression of this nerve.
What is the ilioinguinal nerve?
When going lateral the head and neck should be in a neutral position and aligned with the cervical spine to prevent stretching of this group of nerves.
What is the brachial plexus?
This is the appropriate positioning of the patient's feet when they are in the prone position.
What is flexed feet with toes pointed downward not touching OR table?
What is a pillow or pad?
This common anesthesia complication is prevented by taping the eyes and applying goggles
What is a corneal abrasion?