What do you do to prevent corneal abrasions?
Tape Eyes
What is second most common type of anesthetic complication represented by ASA Closed claim database?
Nerve damage
What are 3 most common claims for nerve injuries?
1) Ulnar nerve
2) Brachial plexus
3) Lumbosacral nerve plexus
Do you supinate or pronate the forearm to prevent ulnar nerve injuries?
Supinate
What is most common type of patient self inflicted injury?
Corneal abrasions due to patient scratching itchy or dry eyes after surgery
Who determines when the patient is moved?
Anesthesia
Position for spine fusions or surgeries on back?
Prone
Position for lung surgeries, kidney or hip surgeries?
Lateral decubitus
How do you name the position “left or right” lateral decubitus?
Patients side that is down (left lateral decub is when patient on left side down)
What kind of surgeries use the lithotomy position?
Urology procedures, GYN surgeries
What is most common type of surgery position and one that is used in cardiac procedures and abdominal procedures?
Supine
What position is used when when undergoing induction of general anesthesia?
Supine
What is another name for supine position?
Dorsal decubitus
What pressure points must be padded in supine position?
Head, hand, elbow, calceanous of foot, calf muscles
True or false, you still have to pad elbows when tucking arms in supine position?
TRUE
What is another name for prone position?
Ventral decubitus
What pressure points must be padded in prone position?
Head, forearms (from elbow to hand), kneecap, anterior part of lower leg on pillows raised
(in some cases must have pad under upper body cavity to ensure flat surface on the back and spine in flat line)
What position has the bottom leg flexed with other leg on top with leg straight and pillow in between?
Lateral decubitus
How do you position arms in lateral decubitus position?
Bottom arm on armboard padded at elbows and hands, top arm on raised special arm board support padded at elbows and hands. Neither shoulder should be flexed more than 90* to body
Name pressure points and padded placements in lateral decubitus position?
Head, arms, along line of nipples near axillary line, strapped at waist, pillow between legs with bottom leg padded at knee
In what position are legs supposed to parallel to floor with hips extended to 90*?
Lithotomy
What is trendelenburg?
Making head lowered to floor with feet raised
What position makes bed orient so head is raised upwards with feet going towards the floor?
Reverse trend
A patient develops right foot drop after GA for repair of a vesicovaginal fistula. (Loss of dorsiflexion) What most likely happened?
Common peroneal injury from lithotomy position
What cardiorespiratory effect will occur immediately after a pt is changed from supine position to steep reverse trend?
BP down, HR up, CO down, FRC up, RA filling pressure down
What hemodynamic changes should be expected in a pt when is positioned from supine to sitting position?
BP down, CO down, HR up
What do you give when quickly treating patients with sudden changes in hemodynamics from taking pt from supine to severe reverse trend?
Phenylephrine or Ephedrine
Where should the axillary role be placed?
under the thorax caudal to the axilla
What physiologic parameter increase when the patient is moved from supine to trendelenberg?
HR and FRC increase
What is the name of the device that secures the head during a neuro procedure?
Mayfield
