Surgical positioning is an important part of surgical operation. In order to adapt to surgical treatment, medical staff must have a thorough understanding of the surgical process, the ideal position, the physiological effects of different positions, and the retention time of the positions, etc., so as to meet the needs of surgical treatment and It is convenient for the surgeon to operate while maintaining the patient’s normal vital signs, improving comfort, and avoiding tissue damage.
Medical staff usually adopt methods such as preoperative assessment and timely adjustment of position to prevent surgical postural injury. The preoperative evaluation mainly includes the analysis of the patient’s current health status and the comorbidities that may affect the operation, comprehensive consideration of the patient’s own condition, and preparation for the operation. In addition, the deployment of various protective measures on the operating table to protect the patients in different positions during the operation is also an important means of intraoperative nursing.
A. Protective measures for different positions to prevent neurological injury
When the patient is in the supine position, the surgical team usually adopts protective measures to prevent pressure injury: the arm is placed on the outside of the patient’s body at <90° or “leaning” next to the body to maintain the normal blood perfusion of the hand. If the operation time is longer, medical staff should use mattresses and support equipment for pressure dispersion. For locations prone to pressure ulcers, more filling or decompression devices should be given.
In the lateral position, the patient lies on the healthy side of the body with the affected side facing up. The upper arm can be supported by a high-position hand plate with a soft padded. In the lateral position, the scapular block, sacral block, and perineal block are often used to fix the patient’s position. The gap can be further fixed with soft fillers. At the same time, a posture cushion is placed under the armpit to protect the brachial plexus. Place channel pads between your legs and knees to reduce pressure while protecting your feet and ankles.
During the placement of the lithotomy position, minimize the potential risks and care and intervention measures that the lithotomy position brings to the patient. At the same time, raise and lay down the lower limbs. Check the stability of the lithotomy position or stirrup-type leg support before use. Provide stable and safe support for patients. The leg support in the lithotomy position or the stirrup-type leg support is the same height, and the upper limb extension should not exceed 90 degrees as much as possible. At the same time, use pads for the leg supports to protect the rouge nest.
B. Precautions for Surgical Positioning
Reduce Body Pressure
One of the keys to surgical positioning is to try to reduce or eliminate the abnormal pressure on the body’s various focus points after the body position changes, as well as the possible pressure on the large blood vessels, nerves, and other tissues caused by the posture cushions and restraint bands. Be gentle and avoid drag or push when placing the body positions. Multiple people should work together to lift the patient and properly fix the position of the posture cushion. The tightness of the restraint band should be appropriate. Take care to protect all kinds of pipes from falling off and twisting.
Position Before Anesthesia
Placing the surgical position before anesthesia can effectively improve the patient’s comfort and shorten the time of placing the position. Since that the patient is awake whose body consciousness is not lost, and it can cooperate with the operator to complete every step of the operation.
Comprehensive consideration of body safety and comfort
The surgical position is not easy to change, and the duration is long. This requires medical staff to correctly place the surgical position according to the needs of the operation. In the process of positioning, the movements should be gentle, steady, upright, and light and the upper limbs should not be excessively abducted, so as not to damage the arm and nerve and bring discomfort to the patient. At the same time, when placing the body position, attention should be paid to the adaptability of the patient’s body systems and the pressure that each part can withstand, and the placement should be safe and effective according to the requirements of ergonomics, which not only exposes the incision but also reduces the pressure of each part.
HFease 600 Operating Table
In order to meet the requirements of different positions in various operations and better support the operation, Heal Force launched the HFease 600 operating table. The operating table features an electro-hydraulic device, which can easily adjust the posture of the bed with one button. Four-section bed (head, back, hips, legs) design, with a variety of optional accessories support, can effectively solve the pain points in the operating room, improve the comfort of the patient, focus on avoiding neurological damage to the surgical position caused by the squeezing of the patient’s limbs and other reasons.
Stable and Reliable
The HFease600 operating table features an imported hydraulic system and a square column design. It is highly stable, adaptable to a variety of surgical posture changes, with low operating noise.
With comprehensive functions, supporting intraoperative X-ray examination
Fully eccentric structure design, and equipped with longitudinal movement function, provide more space for imaging during X-ray surgery and reduce blind spots in photography.
Intimate hardware design, comfortable and convenient
HFease600 operating table has an electric double back plate that can be adjusted in height, giving the patient a more fitting lumbar support and more comfort. It can be folded to form a physiological lumbar position, which is convenient to operate and meets the needs of kidney surgery. The flexibly adjustable operating table will play a role in improving the comfort of the patient’s operation and increasing the safety of the operation, and try to avoid the occurrence of pressure sores. At the same time, the HF600 provides medical staff with diversified control options: the three control modes of handheld remote control, column panel and foot pedal controller improve the efficiency of surgery.
Human-Machine friendly operation
HFease600 operating table has a programming function for complex postures, which saves time and procedures for repeated multi-key combination operations. The hand-held wire controller can touch the keyboard instantaneously, and can continuously press keys to complete various expected positions. It also has an automatic key lock function to prevent misoperation.
The adjustment of the surgical position requires the joint efforts of the medical staff in the operating room, as well as the functional support and cooperation of the corresponding medical equipment. After many upgrades, our integrated operating table HFease600 has been recognized by clinical patients and doctors in terms of patient comfort, surgical efficiency and simplification of operations.