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16 Cards in this Set

  • Front
  • Back
Potential for Injury
neuropathies, crush injuries, pressure necrosis, hyperextension, nerve damage
Physiologic changes
CV, respiratory, venous stasis
Anatomic changes
pressure points, motionless
compression of ulnar nerve
caused by pronation of arm, suppination and padding of the elbow helps to prevent this
Brachial Plexus injury
caused by excessive arm abduction or external rotation, excess neck rotation and/or compression b/w 1st rib and clavicle
Eye injuries
Corneal abrasions most common
Cardiovascular changes to consider
CO, SV, MAP, HR, SVR,End organ perfusion, venous return
Venous stasis
DVT, monoccular blindness
FRC, dead space, diaphragm position/movement, compliance, V/Q mismatch
Principles for selecting Position
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.
Supine(Dorsal Decubitus)
Uses: abdominal surg
-open heart
-face, neck, mouth surg
possible hazards of supine
skin breakdown
lumbar strain
nerve injury
respiratory compromise
circ. compromise
postural hypotension
Prone (Ventral decubitus)
Protect eyes, UE, breasts/genitals, and hips for excessive pressure
-surgery on back or spine, back of legs
Possible hazards of Prone position
skin breakdown
reduce rr
reduce circ
nerve damage
eye or ear damage
damage to breasts or genitals
thoracic outlet syndrome
Lateral Decubitus
lying on side
-chest or lung surgery
-hip surgery
Possible hazards of Lateral Decubitus
skin breakdown
nerve injury
reduce respiration
lateral flexion of neck