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Tutorial 112

Anaesthesia In The Prone Position

Dr D G Hovord

Specialist Trainee Registrar – Anaesthetics

University Hospitals of Coventry and Warwick

d_hovord@hotmail.com

15TH SEPTEMBER 2008

Abstract

Discuss with the operating team the exact position and expected duration of surgery.

Carefully pre-assess the patient

Ensure that adequate numbers of theatre staff who are well trained in prone positioning are available.

The airway must be secure prior to turning the patient prone. Check this again after positioning.

A top to toe assessment of all pressure points should be performed, paying particular attention to those discussed throughout this tutorial.

Maintain anaesthesia until the patient is placed supine at the end of the procedure.