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Surgical Positioning

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Supine Position

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Purpose: Provide general access to the anterior body; Considerations: Support the patient's limbs and maintain proper alignment.

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Reverse Trendelenburg Position

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Purpose: Improve access to upper abdominal organs; Considerations: Prevent patient sliding and monitor for changes in blood pressure.

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Lithotomy Position

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Purpose: Access perineal area; Considerations: Avoid nerve damage by using proper positioning aids and monitoring limb placement.

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Sims’ Position

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Purpose: Perform rectal and vaginal examinations; Considerations: Position patient on left side with right leg flexed and provide adequate support.

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Lateral Decubitus Position

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Purpose: Access to side-specific thoracic and renal areas; Considerations: Pad pressure points adequately and monitor for under body weight pressure effects.

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Standing Position

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Purpose: Mainly for minor procedures on the anterior body; Considerations: Ensure the patient is stable and supported to prevent falls.

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Prone Position

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Purpose: Allow access to the posterior body; Considerations: Ensure open airways and adequate chest expansion, and protect pressure points.

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Beach Chair Position

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Purpose: Allows shoulder arthroscopy; Considerations: Ensure secure bracing of the patient and check for potential cerebral perfusion issues.

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Dorsal Recumbent Position

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Purpose: Facilitate various examinations and minor procedures; Considerations: Place patient flat on their back with legs bent and feet flat on the table.

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Trendelenburg Position

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Purpose: Improve access to pelvic organs; Considerations: Monitor patient for hemodynamic changes and ensure secure positioning to avoid shifting.

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Semi-Fowler’s Position

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Purpose: Enhance patient comfort and respiratory function; Considerations: Carefully support the head and arms, and use care to prevent sliding.

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Lateral Position

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Purpose: Allow surgical access to the hip, kidney, and lung; Considerations: Protect the downside limb from compression and monitor for respiratory compromise.

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Jackknife Position

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Purpose: Expose the perianal region; Considerations: Prevent abdominal compression and protect knees and ankles from pressure.

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Knee-chest Position

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Purpose: Grants access to the sacral and rectal areas; Considerations: Avoid raising the buttocks too high to prevent pressure on the diaphragm.

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Fowler’s Position

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Purpose: Eases breathing in patients; Considerations: Provide support for the back and arms, and prevent slippage.

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Genupectoral Position

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Purpose: Provides exposure for procedures involving the rectum and vagina; Considerations: Ensure knees are adequately padded and the head is turned to one side for breathing.

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Rose Position

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Purpose: Used for lung and thyroid surgeries; Considerations: Use a slight reverse Trendelenburg position and support the head and neck properly.

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Semi-prone Position

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Purpose: Combines benefits of prone and lateral positions; Considerations: Position the lower arm to avoid compression and ensure good thoracic and pelvic alignment.

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Concorde Position

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Purpose: Enhances exposure of the intervertebral spaces; Considerations: Maintain neutral alignment of the head and spine, and support the abdomen to prevent pressure.

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Lloyd-Davies Position

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Purpose: Ideal for colorectal surgeries; Considerations: Combine the use of stirrups with Trendelenburg positioning for optimal exposure and access.

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