How to place the floating position in orthopedics

Posture description

Commonly used in thoracolumbar surgery and hip surgery. It has the advantages of fully exposing the surgical field of vision and facilitating the operation of surgeons.

Place the tutorial

The patient is in a 90-degree lateral position with his back flush with the edge of the bed. At this time, the ligature of ilium and hand is very important. Without affecting the disinfection scope, a chest strap can be reinforced under the armpit to support the body position.

The lateral position requires the use of a suitable lateral position cushion, and the head cushion should be kept at a suitable height, so that the head is in a relatively neutral position when it is in the lateral position. At the same time, it should be noted that there needs to be a groove in the arm part below the lateral position pad to place the arm to avoid crushing. You can put a pillow under the armpit of your upper arm.

It should be noted that venous access should not be placed in the lower arm, because the venous pressure of lower limbs increases when lying on the side. Similarly, padding needs to be added to protect the bony process.

Complexity and Prevention of Extended Data State

Most complications in lateral position are similar to those in supine position. The physiological changes caused by this posture will lead to respiratory and circulatory disorders.

The head should be cushioned and kept in a neutral position to avoid poor jugular vein blood return caused by drooping head. The bone structure needs padding protection. Don't overstretch the arm under pressure to prevent the brachial plexus from being compressed.

Practical skills

Many reports in the literature involve arthroscopic surgery of lateral position and traction of the affected limb. Brachial plexus palsy, traction-related soft tissue injury, finger nerve compression and ischemic injury may occur. The traction weight of upper limbs should be kept below 9kg.