Patient positioning on operation theater table

            Patient positioning is a improtent daily routine for a operation theater technologist , to access the surgical procedure . Different position is the cause of various physiological stress , nerve damage and pressure necrosis ,  the hypotension and hypothermia is also cause of these .
            Diabetics patients with arterialdieases the elderly and those with neurological deficits are also at particular risk .
              patient with rhematoid arthritis may  suffer from survical spine instantly at the atlanto occipital lavel .
various types of positioning are -1   Supine position
                                                                  2   Trendelenburg position, 
                                   3     Reverse Trendenburg position 
                                   4   PRONE POSITION 
                                   5   BACK CHAIR SITTING POSITION 
                                   6   LITHOTOMY POSITION 
                                   7  LATERAL POSITION
                                    8 LAWN CHAIR POSITION 

PATIENT POSITION ON OPERATING TABLE 

PHOTO BY GOOGLE

        SUPINE POSITION - The supine or dorsal or decubitas is the position commonly used for this particularly surgery . Head is rested sand bag is used under the soulder . The patient arms are either tucked at their side and abducted to less than 90 degrees on padded arm boards . Acute flexicom elbow may cause ulnar nerve damage . Due to  fixed structure brachial plexus is susceptible to traction injury . to avoid strech on the plexus pronate the foreman . when the arms is extended by the patient side . when the arms is extended by the patient side .  When the arms is abducted head should be turned towards that side , again to prevent the brachial plexus . Legs should be turned towards that side , again to prevent the brachial plexus . Legs should be flat . A soft pad raising the heels form the table avoids pressure necrosis. this position for all common operation  .Such as  open gall bladder e.t.c .

photo by google 

         Trendelenburg position   -     It is a similar position with the supine position . But here the patients head is down and leg is up right position and the table is till towards the surgeon  . 
      This particular position is used for LAPAROSCOPIC appendectomy surgery . 
 
       REVERSE TRENDELENBURG POSITION : Its also similar  as trendelenburg position   ,  but here  head  is up and  leg is down and the table is till towards surgeon . 
This particular position is used for LAPAROSCOPIC gall bllader and  venicosa vein surgery .

Prone position :   THIS position is particularly used for spinal surgery or back surgery . But this position is like as supine position but the patien should be truned down his face . the gab between patients hand and body is not more than 90 degrees but grater than 60 degrees .

 



Lateral position : Here the patient lay on the table on a side , one leg should be taken to the chest   . And this position is used for kidney operation and hip joint operation  and many other surgery .

Lithotomy position :This position is frequently used on the operating table  . This position is used for normal delivery , fissure , fistula and other surgery . legs should be up on the particular handle .



all of these position is used for different surgery on the operating table . and back chair position and lawn chair position is rear used  for knee surgery .
HERE IS THE POSITION OF ALL TYPES OF SURGERIES .