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FUNDAMENTAL PRINCIPLES
Patient positioning in Learning objectives
anaesthesia
After reading this article, you should be able to:
Dominic O’Connor C describe the physiological changes associated with the
commonly used surgical positions
Jeremy Radcliffe C discuss the risk factors for and causes of injury to patients due
to positioning
Abstract C describe how to reduce the risk of injury to patients due to
Anaesthesia inhibits a variety of the protective mechanisms which are surgical positioning
usually in place to protect us from harm and prevent damage to vulner-
able tissues. In addition, anaesthesia may impose physiological stresses
on these tissues. Patients are often required to assume positions for sur-
gery which would be intolerable without anaesthesia; these positions patient must be clear on their actions required to achieve the new
may introduce hazards which can lead to injury. Positioning of patients position. There is a conflict of tasks for the anaesthetist to
under anaesthesia is an important subject for anaesthetists to consider, manage, supervising the physical positioning according to the
since patient positioning has implications upon the patient’s physiolog- factors discussed he
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