ENTRY RULES & POSITIONS
Some more positions
HOW DO YOU GET THE LATERAL POSITION OF EXTENSION?
This is used for operations on the kidney and chest, but may be
modified slightly for operations on the hip.
For the former operations the patient is positioned over the kidney bridge which is raised to extend this region.
Alternatively if an operation which incorporates a `break back' is used, extension is achieved by positioning the patient over the division in the centre section before adjusting the angle of the table top. Fig 8
HOW TO GET THE PRONE CRANIAL POSITION?
This position is used for cerebella operations and high cervical
laminectomy.
Some reverse Trendelenburg tilt is used and a padded strap placed round the thighs and the table top for additional security.
The shoulders and thorax are supported by shoulder supports in conjunction with small pillows. Fig. 9
HOW TO GET PATENT IN SITTING CRANIAL POSITION?
This is a position for cerebella cranial operations and high
cervical laminectomy and is an alternative to that described.
The patient is sitting and stabilised by the cranial support.
The hands are placed in the lap and the body immobilised by
securing the arms with body supports which are attached to the
operation table at each side.
These have been omitted in the illustration in order to show the position of the arms. fig 10
RULES YOU OBSERVE IN OT?
No one should enter the operating rooms without first washing his
hands and changing into clean OT clothing and footwear such as
theatre rubber shoes, sandals or slipper.
The main objective is to prevent entry of street bacterial contamination into the operating rooms.
This rule must apply even when there are no operations in progress.
- Personnel preparing to assist at operations cover their hair
and wear masks in addition to wearing suitable clothing and
footwear.
Visitors and other staff are similarly attired.
- Cotton, poplin or polyester cotton are the most commonly used
materials for theatre clothing; Blue, grey colour or white for
scrub suits, and green colour or white for operating gowns.
- The hair should be completely covered with a closely fitting
caps.
- The most efficient mask is one made from synthetic fibres or
fibre glass, linen masks can be used in case these are not
available.
- These masks, which should be moulded to fit the facial outline
snugly when worn, actually filter the air rather than deflect
as with the paper or cloth masks.
Any questions be sent to drmmapur@gmail.com D
