Document Detail

A Quality Improvement Project for Safe and Effective Patient Positioning During Robot-Assisted Surgery.
MedLine Citation:
PMID:  23531311     Owner:  NLM     Status:  In-Data-Review    
During the initiation of a new robotic surgery program, a quality improvement team explored different techniques for positioning patients in the lithotomy and steep Trendelenburg position during robot-assisted procedures. Concerns associated with placing patients in the steep Trendelenburg position include the patient slipping toward the head of the bed and experiencing hemodynamic changes that may result in a rise in blood pressure, increased intraocular and intracranial pressures, and difficulty with ventilation, particularly in patients with a high body mass index. Skin integrity is also of concern because perioperative personnel are responsible for protecting the patient's skin from excessive sheer, friction, and injury. The quality improvement team evaluated and compared two positioning devices: an air-inflated positioning device and high-density foam padding. Both methods allowed personnel to position the patient without compromise; the surgeons performing the robot-assisted procedures preferred the high-density foam padding.
Shauna Sutton; Terri Link; Mary Beth Flynn Makic
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AORN journal     Volume:  97     ISSN:  1878-0369     ISO Abbreviation:  AORN J     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-03-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372403     Medline TA:  AORN J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  448-56     Citation Subset:  IM; N    
Copyright Information:
Copyright © 2013 AORN, Inc. Published by Elsevier Inc. All rights reserved.
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