PREVENTING INTRAOPERATIVE POSITIONING INJURY

The patient’s position on the operating table depends on the surgical procedure to be performed as well as on his or her physical condition.

• The patient should be in as comfortable a position as possible, whether asleep or awake.

• The operative field must be adequately exposed.

• An awkward position, undue pressure on a body part, or use of stirrups or traction should not

   obstruct the vascular supply.

• Respiration should not be impeded by pressure of arms on the chest or by a gown that constricts
   the neck or chest.

• Nerves must be protected from undue pressure. Improper positioning of the arms, hands, legs, or
   feet may cause serious injury or paralysis. Shoulder braces must be well padded
   to prevent irreparable nerve injury, especially when the Trendelenburg position is necessary.

• Precautions for patient safety must be observed, particularly with thin, elderly, or obese patients, or
   those with a physical deformity.

• The patient needs gentle restraint before induction in case of excitement.