TABLE POSITIONS 3

TABLE supine 3 (modified supine) WHAT IS SUPINE HIP POSITION? This is used mainly for nailing a femoral neck fracture, Also suitable for osteotomy, slipped femoral epiphysis,etc. The patient is in a supine position, with his pelvis supported by a supplementary table top which is translucent to X-rays and incorporates a slot for introducing anterior position film cassettes under the pelvis fig 4. WHAT IS THE TRENDELENBURG POSITION (HEAD DOWN)? This position, a modification of supine, is used for intrapelvic operations. Fig 5. - The object being to allow the intestines to displace away from the pelvic cavity by gravity towards the upper abdomen. - They may also be packed off readily to leave easier access to the pelvic organs. Any questions be sent to drmmkapur@gmail.com All earlier posts are stored in archives for your access and review. Visitors that follow may post contributions to the site Service providers (Residents, Nurses) visit www.surgseminar.blogspot.com www.drmmkapur.blogspot.com Click on the image to see details.

TABLE POSITIONS 2

TABLE Positions supine (Modified)


WHAT IS BREAST AND AXILLA POSITION?
This is the position for operations on the breast and axilla.
It is a modified supine position,
-With both arms extended, and secured on arm tables.
-Or one arm secured by the side of the patient and the other on the affected side abducted and secured to arm table.
-or supported by a nurse.

WHAT IS NECK POSITION?
This position is used for operations on the neck, especially
Thyroidectomy,
and tracheotomy.
The patient is placed in the supine position with a pillow or sandbag under the shoulder blades, and
-with the neck well extended, a padded horse-shoe provides a good support for the head in such operations.

Any questions be sent to drmmkapur@gmail.com
All earlier posts are stored in archives for your access and review.
Visitors that follow the site may post contributions to the site.
Service providers (Residents, Nurses visit www.surgseminar.blogspot.com
www.otmanage.blogspot.com
Click on image to see details.

TABLE POSITIONS

TABLE

Check list

Positions

Who Should Know?

*It is essential that all members of the theatre staff must master
The working of the operation table and its accessories which
*These must be easily available, and ready for immediate use.
*To insure this, passing on of information on the function status, of the table is a part of the introductory briefing of all new staff.
- The whole apparatus must be maintained in good working order
and checked before each operation list starts.
Careful and correct positioning of the patient is very important.
- It is essential to provide good access for surgery.
- And also to take into account patient safety.
- Anesthesia technique requirements.
- Providing space in all position for I.V. lines.
- The table top rubber mattress must provide insulation and
Prevent harm to the patient due to pressure, especially to
Nerves, and bony prominences.
Most of the following positions are demonstrated on a general
purpose operation table which incorporates the majority of the
features described already.

What are the Positions?

In Supine or Dorsal Recumbent Position
In this position the patient lies on his back and is used for MOST operations, including those on the
- Eye
- Ear
- Face
- Chest
- Abdomen
- Legs or Feet
- And with modifications is suitable for operations on the breast
arms or hands, where arms are extended on an arm table.

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POWERED EQUIPMENT

THE O.T. TABLE

The modern operation table is a powered or mechanical apparatus, capable of adjustment to give a variety of positions for a patient
Undergoing surgery.

1) Most tables are designed to provide suitable positions for a
wide range of general surgical operations.
2) It can be adapted for specialised procedures by the addition
of accessories (neurosurgery, orthopedics).

3) The Base unit positioned in the centre of the theatre on to which
Is fitted a removable top.
This facilitates the transport of the operated patient.
An operation table which offers power operation,
Interchangeability of table top for ease of patient transport is
Illustrated above

The table must have the following functions:
* Can be tilted downwards at the head and the foot ends.
* Can be tilted from side to side.
* Can be elevated or lowered as a whole to suit th surgeon.
* Can be broken at hip level for gynecologic operation (e.g.
vaginal hysterectomy), renal surgery, and certain orthopaedic
operations.
* Can have the head of the table removed to allow
for other attachments, eg. the application of a neurosurgical
frame.
• Foot end removed for Lithotomic position for anal surgery.

Any questions be sent to drmmkapur@gmail.com
All earlier posts are stored in archives for your access and review.
Visitors that follow the site may post contributions to the site.
Click on image to see details.