مساء النور 🙋🏻♀️
بتكلم اليوم عن
PATIENT POSITIONING
طبعاً الموضوع مهم لكل التخصصات لان ببعض الأحيان الوضعية فقط علاج المشكلة ..
فامثلاً أمراض ضيق التنفس او الضغط وغيره.
بتكلم اليوم عن
PATIENT POSITIONING
طبعاً الموضوع مهم لكل التخصصات لان ببعض الأحيان الوضعية فقط علاج المشكلة ..
فامثلاً أمراض ضيق التنفس او الضغط وغيره.
High Risk Populations:
Criteria for all patients positions:
Various Positions:
• Supine
• Prone
• Lateral
• Lithotomy
• Jackknife
• Knee-chest
• Chair/Sitting
• What ever bizarre position the surgeon wants the patient in
• Supine
• Prone
• Lateral
• Lithotomy
• Jackknife
• Knee-chest
• Chair/Sitting
• What ever bizarre position the surgeon wants the patient in
Supine Position
• The most commonly used position and is frequently used in abdominal, orthopaedic
• Allows access to the head, neck, extremities, peritoneal, thoracic and pericardial regions
• Pressure points include head , ulnar nerve, Sacrum & heels
• The most commonly used position and is frequently used in abdominal, orthopaedic
• Allows access to the head, neck, extremities, peritoneal, thoracic and pericardial regions
• Pressure points include head , ulnar nerve, Sacrum & heels
Prone Position
•Patient is lying face down
• Used for spine and vascular procedures
•Pressure points:eyes,ears, cheeks,patella
•Extreme caution should always be implemented when the patient is placed in the prone surgery to avoid direct pressure on the area of the eye orbit
•Patient is lying face down
• Used for spine and vascular procedures
•Pressure points:eyes,ears, cheeks,patella
•Extreme caution should always be implemented when the patient is placed in the prone surgery to avoid direct pressure on the area of the eye orbit
Trendelenburg Position
§ This is a dorsal position in which the table is tilted to a 45° angle, lowering the head of the table
§ Used for Gallbladder. Thoracic and abdominal procedures
§ This is a dorsal position in which the table is tilted to a 45° angle, lowering the head of the table
§ Used for Gallbladder. Thoracic and abdominal procedures
Reverse Trendelburg Position
§ This is a dorsal position in which the table is tilted to a 45° angle, lowering the feet and raising the head of the table
§ Used for lower abdominal and urology procedures
§ This is a dorsal position in which the table is tilted to a 45° angle, lowering the feet and raising the head of the table
§ Used for lower abdominal and urology procedures
Lithotomy Position
§ In this position the legs are elevated, abducted (moved away from the midline of the body) and supported by stirrups. The lower portion of the table is broken and fully lowered
§ Used for gynaecology and urology procedures
§ In this position the legs are elevated, abducted (moved away from the midline of the body) and supported by stirrups. The lower portion of the table is broken and fully lowered
§ Used for gynaecology and urology procedures
Lateral Position
§ In the lateral position the patient lies on his side with both arms forward and his knees and hips flexed. One leg is more acutely flexed than the other leg
§ Lateral position used for kidney surgery
§ In the lateral position the patient lies on his side with both arms forward and his knees and hips flexed. One leg is more acutely flexed than the other leg
§ Lateral position used for kidney surgery
COMMON INJURIES
Ulnar Nerve Injury
in anesthetised patients
injured when compressed between the posterior elbow and arm board or bed
with elbow flexed or forearm pronated
S&S:loss of sensation of lateral portion of hand and inability to abduct or oppose the fifth finger-claw hand
Ulnar Nerve Injury
in anesthetised patients
injured when compressed between the posterior elbow and arm board or bed
with elbow flexed or forearm pronated
S&S:loss of sensation of lateral portion of hand and inability to abduct or oppose the fifth finger-claw hand
“UNDER PRESSURE”
AREAS MOST SUSCEPTIBLE
AREAS MOST SUSCEPTIBLE
Positioning Products:
Head Rests
Ulnar Nerve Protectors Heel & Knee Protectors Abduction Pillows Chest Rolls Bolsters
Wedges
Straps
Kits
Larger patients positioners
Head Rests
Ulnar Nerve Protectors Heel & Knee Protectors Abduction Pillows Chest Rolls Bolsters
Wedges
Straps
Kits
Larger patients positioners
Head:
Body:
Done by: @amjadalameel 🙋🏻♀️
Reference :
Reference :
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