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16 Cards in this Set
- Front
- Back
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Potential for Injury
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neuropathies, crush injuries, pressure necrosis, hyperextension, nerve damage
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Physiologic changes
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CV, respiratory, venous stasis
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Anatomic changes
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pressure points, motionless
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compression of ulnar nerve
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caused by pronation of arm, suppination and padding of the elbow helps to prevent this
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Brachial Plexus injury
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caused by excessive arm abduction or external rotation, excess neck rotation and/or compression b/w 1st rib and clavicle
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Eye injuries
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Corneal abrasions most common
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Cardiovascular changes to consider
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CO, SV, MAP, HR, SVR,End organ perfusion, venous return
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Venous stasis
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DVT, monoccular blindness
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Respiratory
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FRC, dead space, diaphragm position/movement, compliance, V/Q mismatch
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Principles for selecting Position
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1. position must not cause harm
2. adequate exposure for surgeon 3. anesthesia must be able to administer anesthesia and monitor patient 4. based on individual patient requirements. |
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Supine(Dorsal Decubitus)
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Uses: abdominal surg
-open heart -face, neck, mouth surg -extremeties |
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possible hazards of supine
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skin breakdown
lumbar strain nerve injury respiratory compromise circ. compromise alopecia postural hypotension |
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Prone (Ventral decubitus)
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Protect eyes, UE, breasts/genitals, and hips for excessive pressure
-surgery on back or spine, back of legs |
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Possible hazards of Prone position
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skin breakdown
reduce rr reduce circ nerve damage eye or ear damage damage to breasts or genitals thoracic outlet syndrome |
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Lateral Decubitus
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lying on side
-chest or lung surgery -hip surgery |
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Possible hazards of Lateral Decubitus
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skin breakdown
nerve injury reduce respiration lateral flexion of neck |
