Guideline Implementation: Positioning the Patient
Guideline Implementation: Positioning the Patient
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DOI：
10.1016/j.aorn.2017.07.010
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发表时间：
2017-09-01
期刊：
影响因子：
0.9
通讯作者：
Burlingame, Byron L.
中科院分区：
文献类型：
--
作者：
Burlingame, Byron L.
每个外科手术都需要定位患者;然而，所有手术位置都与患者发生定位损伤的可能性相关。潜在损伤的位置和类型（例如，拉伸、压缩、压力损伤）取决于体位。可能增加患者损伤风险的因素包括手术时间和患者固有的风险因素（例如，体重、年龄、虚弱）。AORN更新的“患者体位指南”提供了所有手术体位的损伤预防实践指南，包括仰卧位、头低脚高位、反向头低脚高位、侧卧位、截石位、俯卧位和坐位以及这些体位的修改。本文重点介绍了指南的关键点，包括预防性敷料的使用、神经生理学监测以及患者仰卧位和俯卧位的安全定位。围手术期RN应审查完整的指南，以获取更多信息，并在编写和更新政策和程序时提供指导。
Every surgical procedure requires positioning the patient; however, all surgical positions are associated with the potential for the patient to experience a positioning injury. The locations and types of potential injuries (eg, stretching, compression, pressure injury) depend on the position. Factors that may increase the patient's risk for an injury are the length of the procedure and risk factors inherent to the patient (eg, weight, age, frailty). AORN's updated "Guideline for positioning the patient" provides guidance on injury prevention practices for all surgical positions including supine, Trendelenburg, reverse Trendelenburg, lateral, lithotomy, prone, and sitting positions and modifications of these positions. This article focuses on the key points of the guideline covering the use of prophylactic dressings, neurophysiological monitoring, and safely positioning the patient in the supine and prone positions. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures.