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Evidence informing policies regarding positioning lithotomy patient to prevent compartment syndrome
Pages 10 (2510 words)
Evidence Informing Policies Regarding Positioning (Lithotomy) Patient to Prevent Compartment Syndrome Introductions: Compartment Syndrome has been broadly reported in legs located in lithotomy, for urologic, as well as prolonged general surgical and gynecologic procedures.
It happens most generally in an osseofascial compartment of the forearm or leg, but it may happen in the upper foot, arm, abdomen, thigh, buttock, and hand. Positioning the particular patient for a surgical practice is the shared duty of the entire group of medicos. “There are many concerns to address when placing a patient in the lithotomy position. The patient can be injured while being placed in and out of the position, as well as while in the position. When placing the patient in the lithotomy position, both legs should be moved in unison to avoid overstretching the nerves of the lumbosacral plexus” (Rank 2012). Patient positioning in operation theatre relates to how a particular patient is transferred and positioned for a specific procedure. The incident I came across in this case in related with a patient in recovery, subsequent to prostactectomy, handed over by the anaesthetist. That particular patient was in the position of lithotomy - rendelenburg for 8 hours, with bilateral extremities supported on the parts with stirrups. While the patient woke up from anesthesia, he appeared to be restless with complaining ache on his right leg. Though in a higher amount of analgesia, the patient complained of severe pain with passive movements. He also complained of decreased feeling on the toes and feet in the right leg. ...
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