Patient positioning in anaesthesia. Issue 11 (November 2018)

• Record Type: Journal Article
• Authors: O'Connor, Dominic; Radcliffe, Jeremy
• Is Part Of: Anaesthesia and intensive care medicine. Volume 19:Issue 11(2018)
• Page Start: 585
• Page End: 590
• Publication Date: 2018-11
• Subjects: Lithotomy -- perioperative nerve injury -- positioning -- prone; Anesthesiology -- Periodicals; Critical care medicine -- Periodicals; Anesthesia -- Periodicals; Intensive care -- Periodicals; Electronic journals; Periodicals; 617.9605
• DOI: 10.1016/j.mpaic.2018.08.019
• Languages: English
• ISSNs: 1472-0299

Abstract

Abstract: Anaesthesia inhibits a variety of the protective mechanisms usually in place to protect us from harm and prevent damage to vulnerable tissues. In addition, anaesthesia and patient positioning may impose physiological stresses on these tissues. Patients are often required to assume positions for surgery which would be intolerable without anaesthesia; these positions may introduce hazards which can lead to injury. Positioning of patients under anaesthesia is an important subject for anaesthetists to consider, since patient positioning has implications upon the patient's physiological responses as well as potentially causing injury to the patient. We describe the considerations for the anaesthetist when positioning the surgical patient. We discuss the positions commonly used for surgical patients and relate the challenges associated with each of these positions, challenges which can be physical as well as physiological. Staffing and equipment provision levels must be adequate to cope with the complexity predicted in positioning an individual patient. The anaesthetist also needs to consider the relatively restricted access to the patient for intervention when in the prone or lateral positions.