Precautions and prevention for lateral position surgery

1.Prevention of spinal cord injury. After anesthesia, the patient’s muscles are relatively loose, and the spine and joints of all sizes are inadequately supported and protected. When moving the patient, the medical staff must have sufficient support for every part of the patient’s body. When changing positions , The patient’s head, neck, chest and waist, lower limbs and other parts must be assigned to a special person to be responsible for a unified pace, so that the patient’s head, neck, and back rotate synchronously, and always remain in the functional position.

2.Prevention of circulatory system complications. When the patient is lying on his side, local limbs are compressed, especially the upper limbs, which may easily cause venous return obstacles in the upper limbs and affect the circulatory system. The soft pads used in posture placement must be equipped with various specifications. Choose the appropriate soft pads according to the patient’s body shape to reduce the compression of the armpits, chest and other parts, to ensure normal thoracic dilation and normal venous return.

3.Prevention of skin and muscle pressure injuries. When lying on the side, the main stress points of the body are the side of the acromion, the lateral epicondyle of the humerus, the anterior superior iliac spine, the lateral epicondyle of the femur, and the lateral malleolus. The weight is concentrated in these parts, and these parts are bone protuberances or thin parts of muscles and fats, which can easily cause skin pressure injuries due to pressure for a long time. When placing the body position, you should carefully check the condition of each stress point of the patient’s body. For thin patients, add a sponge pad at the bone carina to relieve local pressure.

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