PositioningANESTHESIA TECHNOLOGY FUNDAMENTALS I

ANES 1502

COLLEGE OF DUPAGE

Positioning the Surgical Patient

Positioning for surgery

Usually takes place after administration of anesthesia

Surgical positions: supine, Trendelenburg, reverse Trendelenburg, Fowler’s, sitting, lithotomy, prone, Kraske (jackknife), lateral, kidney, right kidney, and Sims’

Positioning of the Sterile Team Members and the Furniture

Factors affecting positioning of sterile individuals and items Planned surgical procedure and incision site Planned patient position Size of the patient Preference of the sterile team members (e.g., a

right-handed surgeon may prefer the surgical technologist to consistently be to his or her right)

Positioning of the Sterile Team Members and the Furniture (cont’d.)

Heights of the sterile team members

Dominant hands of the sterile team members

Configuration of the OR

Placement of nonsterile personnel or items

Supine

Prone

Trendelenburg

Reverse Trendelenburg

Dorsal Recumbent

Sitting

Beach Chair

Sims

Lithotomy

Lithotomy with Candy Canes

Right Lateral

Right and Left Lateral

Lateral Pressure Points

Positioning Equipment

Gel Rolls

Blanket Rolls

Prone Headrest

Prone Headrest with Mirror

Eye Protection

Wilson Frame

Andrews Frame

Bean Bag Inflate

Bean Bag

Hip Table

Beach Chair