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Positioning (Part 2)
ANES 1502
ANESTHESIA TECHNOLOGY FUNDAMENTALS
COLLEGE OF DUPAGE
Preliminary considerations
 Positioning
 Preoperative assessment
 Objectives
 Responsibilities
Anatomic/Physiologic Considerations
 Respiratory considerations
 Circulatory considerations
 Peripheral nerve considerations
 Musculoskeletal considerations
Anatomic/Physiologic Considerations, cont.
 Soft tissue considerations
 Surgical site accessibility
 Accessibility for anesthetic administration
 Individual positioning considerations
Equipment for positioning
 Operating bed
 Types
 Components
Equipment for positioning
 Special equipment and bed attachments
 Safety belt
 Anesthesia screen
 Lift sheet
 Armboard
 Double armboard
 Wrist/arm strap
Equipment for positioning, cont.
 Special equipment and bed attachments
 Upper extremity table
 Shoulder bridge
 Should brace/support
 Body rests and braces
 Lateral positioner
Equipment for positioning, cont.
 Special equipment and bed attachments (cont’d)
 Body restraint strap
 Positioning for anal procedures with tape
 Adjustable arched spinal frame (Wilson frame)
 Stirrups
 Metal footboard
 Headrests
Equipment for positioning
 Special equipment and bed attachments (cont’d)
 Accessories
 Donut
 Bolsters
 Pressure-minimizing mattress
 Surgical vacuum positioning device
Surgical positions
 Supine (dorsal)
 Considerations
 Modifications
 Lithotomy
 Uses
 Equipment
 Considerations
Surgical positions
 Prone
 Equipment
 Considerations
 Modified prone
 Kraske (jackknife)
Surgical positions
 Knee-chest
 Lateral
 Types
 considerations
Modifications for individual patient
needs
 Reasons
 Equipment
 Documentation

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