What procedures are done in supine position?

What procedures are done in supine position?

Supine. Patient lies on the back, face toward the ceiling, legs not crossed, arms at sides or on arm boards. This position is most often used for abdominal surgery, some pelvic surgery, open-heart surgery, surgery to the face, neck, mouth, and most surgeries of the extremities.

Why would you put a patient in supine position?

The supine position is one of the most natural positions for patients and usually allows for all patient anatomical structures to remain in natural neutral alignment. Most patients are able to maintain adequate respiratory function with no constricting external compression on the respiratory system.

What position is most commonly associated with brachial plexus injuries?

Brachial Plexus Injury Often presents as an ulnar nerve sensory deficit, most commonly associated with abduction > 90 degrees, lateral rotation of the head, sternal retraction, or trauma to the nerves themselves.

What is supine or back arm position?

Supine position: the patient’s arm and shoulder are pulled down and the hand is fixed in place under the buttocks. The examiner, keeping the shoulder stabilized, lifts, rotates and inclines the head towards the opposite side.

When placing the supine patient’s arm on an arm board What should you be careful not to do with the arm and why?

In order to limit the risk of injury to the brachial plexus, abduction of the arm should be limited to less than 90 degrees. Dorsal extension of the arm onto a low or malpositioned arm board should be avoided, attempting to keep the arm level with the chest.

What is side lying position called?

The word “lateral” means “to the side,” while “recumbent” means “lying down.” In the right lateral recumbent position, the individual is lying on their right side. This position makes it easier to access a patient’s left side.

Which is a potential problem associated with the supine position?

In addition, several other complications are associated with the supine position. These include pressure alopecia due to pressure on the back of the head during prolonged procedures. Further areas of pressure-related injury and necrosis include the heel, sacrum, and other bony prominences.

What is the proper position of the supine patient during surgery?

The legs are often positioned with the knees slightly flexed resting on pillows to alleviate strain on the lumbar spine. Ultimately, the proper position of the supine patient is a shared responsibility between the anesthesia, surgery, and intraoperative nursing teams.

What are the most common injuries related to the supine position?

The most common injuries related to the supine position are pressure ulcers on the occiput, scapulae, thoracic vertebrae, elbows, sacrum, and heels.These areas should be adequately padded during the procedure. In this position, the patient’s arms should either be secured at the sides or extended on arm boards.

What are the different alterations of the supine position?

Alterations of the supine position typically include tilting the patient in various planes. This includes the Trendelenburg, reverse Trendelenburg, and left or right tilt. Other variations include the lawn chair position, in which the patient’s hips and knees are flexed to relieve strain on the lumbar spine.

What is the proper placement of the arm for a tracheostomy?

Placement of the arm should either be tucked at the patient’s side in the thumbs-up position or abducted to less than 90 degrees with the forearm supinated. Supination of the forearm in the abducted position puts the least amount of pressure on the ulnar nerve, decreasing the risk of compression related injury.