Correlation between surgical patient supine positioning and the neurovascular injuries
Proposed nursing safety measures
Keywords:
surgical supine position, neurovascular injuries, nursing safety measuresAbstract
Background: The surgical supine position is the most common position used in the operating room. Even though, there are many risks to patients under anesthesia that result from supine position on the operating table. The aim was to investigate the relationship between surgical supine positioning and the related neurovascular injuries among patients undergoing elective surgeries. Question: What was the relationship between surgical supine positioning and the related neurovascular injuries among patients undergoing elective surgeries? Descriptive correlational design was utilized. Tools: I- Preoperative Assessment Data Form. II- Risk Assessment Scale for the Development of Injuries Due to Surgical Positioning III- Postoperative Neurovascular Assessment Form and IV- Numerical Pain Rating Scale. A convenience sample of 50 male and female adult patients over a period of 6 months; who had undergone elective surgeries and were positioned on surgical supine position and not suffering from neuropathy and neuromuscular diseases at one of Cairo University Hospitals, Egypt constituted the study sample. Results: There was a positive correlation between supine surgical positioning and postoperative neurovascular injuries among the study sample in relation to tissue perfusion, sensory alteration and postoperative pain as r = .503, .551 & .440 and p value = .000, .000 & .001 respectively.
Downloads
References
Alaska Perioperative Nursing Consortium (2016). Introduction to Surgical Patient Positioning -Alaska State Hospital. www.ashnha.com/wp-content/.../Introduction-to-Surgical-Patient-Positioning-2.pptx
American Heart Association, (2016). https://www.heart.org/en/health-topics/high-blood-pressure/the-facts-about-high-blood-pressure/all-about-heart-rate-pulse.
Armstrong, M & Moore, R. A., (2021). Anatomy, Patient Positioning November 5, 2021.https://www.ncbi.nlm.nih.gov/books/NBK513320/
Association of surgical technologists (2011) AST Standards of Practice for Surgical Positioning. Available at: https://www.ast.org/uploadedFiles/Main_Site/Content/AboutUs/ Standard%20Surgical%20Positioning.pdf
Blomberg, A.N., Bisholt, B., & Lindwall, L., (2018). Responsibility for patient care in perioperative practice, Nurs Open. 2018 Jul; 5(3): 414–421. Published online 2018 Apr 27. doi: 10.1002/nop2.153 PMCID: PMC6056433, PMID: 30062035.
Chaverneff, F.(2017). Patient Positioning During Anesthesia: Supine Position. Retrieved from https://www.clinicalpainadvisor.com
Clinical guidelines (nursing) (2019). Neurovascular observations, https://www.rch.org.au/ rchcpg/hospital_clinical_guideline_index/Neurovascular_observations/
Dewi, P. S., Ratini, N. N., & Trisnawati, N. L. P. (2022). Effect of x-ray tube voltage variation to value of contrast to noise ratio (CNR) on computed tomography (CT) Scan at RSUD Bali Mandara. International Journal of Physical Sciences and Engineering, 6(2), 82–90. https://doi.org/10.53730/ijpse.v6n2.9656
Ferraz, M.B., Quaresma, M.R., Aquino, L.R., Atra, E., Tugwell, P., Goldsmith, C.H., (1990). Reliability of pain scales in the assessment of literate and illiterate patients with rheumatoid arthritis. J Rheumatol; 17: 1022-4.
Gillespie B., M. (2021). The incidence of peripheral nerve injuries related to patient positioning during robotic assisted surgery: Aney: An evidence summary " Journal of Perioperative Nursing: Vol. 34: Iss. 4, Article 7. Available at: https://doi.org/10.26550/2209-1092.1166
Gray, R.J., Grove, K.S., Sutherland, S., Burns, N., (2017). The practice of nursing research. Appraisal, Synthesis and Generation of Evidence, (8th Ed.). ELSERVER, pp. 99.
Guideline for positioning the patient. (2017). AORN Journal, 105 (4), P8-P10. doi:10.1016/s0001-2092(17)30237-5
Heizenroth, P.A., (2016). Positioning the Patient for Surgery| Basic medical Key. Available at basicmedicalkey.com › positioning-the...
Iurii, M., Volodymyr, Y., Vasyl, S., Oleksandr, B., & Oleh, S. (2021). Optimal management of early surgery of chronic pancreatitis. International Journal of Health Sciences, 5(3), 373–385. https://doi.org/10.53730/ijhs.v5n3.1638
Lopes, C.M.M., Haas, V.J., Dantas, R. A.S., Oliveira, C.G., Galvão, C.M., (2016). Assessment scale of risk for surgical positioning injuries. Rev. Latino-Am. Enfermagem. 2016; 24:e2704. DOI: http://dx.doi.org/DOI: 10.1590/1518-8345.0644.2704.
McCaffery, M., and Beebe, A., (1989) Pain: Clinical Manual for Nursing Practice. Mosby, St. Louis.
McInnes E, Jammali-Blasi A, Bell-Syer SE, Dumville JC, Middleton V, & Cullum N. Support surfaces for pressure ulcer prevention. Cochrane Database Syst Rev. [Internet]. 2015 Sep [cited Out 12, 2017]; 3(9): CD001735. Available from: http://www.ncbi.nlm.nih. gov/pubmed/26333288
Menezes, S., Rodrigues, R., Tranquada, R., Müller, S., Gama, K., Manso, T., (2013). Injuries Resulting from Positioning for Surgery: Incidence and Risk Factors. Acta Med Port; 26(1):12-16. Retrieved at www.actamedicaportuguesa.com.
Miranda, A B., Fogaça, A R., Rizzetto, M., Lopes, L C. (2016). Surgical positioning: nursing care in the transoperative period. REV. SOBECC, SÃO PAULO. 21(1): 52-58. DOI: 10.5327/Z1414-4425201600010008
Nascimento, F. C., & Rodrigues, M. C., (2020). Risk for surgical positioning injuries: Scale validation in a rehabilitation hospital. Rev Lat Am Enfermagem. 28: e3261. Doi: 10.1590/1518-8345.2912.3261 Available at www.eerp.usp.br/rlae.
Sørensen, E. E., Kusk, K. H, & Grønkjær, M., (2015). Operating room nurses’ positioning of anesthetized surgical patients. John Wiley & Sons Ltd Journal of Clinical Nursing, 25, 690–698.
Steris, (2021). The Complete Guide to Patient Positioning. Retrieved from https://www.steris.com › healthcare › c...
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Health and treatment of diabetes mellitus. International Journal of Health Sciences, 5(1), i-v. https://doi.org/10.53730/ijhs.v5n1.2864
Tapar, H., Karaman, S., Dogru, S., Karaman, T., Sahin, A., Tapar, G G., Altiparmak, F& Suren, M., (2018). The effect of patient positions on perfusion index. BMC Anesthesiol. 17; 18(1):111. Doi : 10.1186/s12871-018-0571-z.
Zillioux, J. M., & Krupski, T. L, (2017). Patient positioning during minimally invasive surgery: what is current best practice?. Robotic Surgery: Research and Reviews: 4 69–76. retrieved at www.ncbi.nlm.nih.gov › pmc › articles › PMC6193419.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
