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Use of anti-skid material and patient-positioning to prevent patient shifting during robotic-assisted gynecologic
Jennifer Klauschie1, M E Wechter, K Jacob
1Mayo Clinic Arizona, Department of Gynecologic Surgery, Phoenix, AZ 85054, USA. klauschie.jennifer@mayo.edu
Study Objective:
To estimate patient shifting with the current practice of use of an antiskid material and patient positioning during robotic procedures in gynecology.
Design:
Pilot observational study (Canadian Task Force classification).
Setting:
Tertiary referral center.
Patients:
Twenty-two women undergoing robotic-assisted gynecologic procedures.
Intervention:
Antiskid material (egg-crate pink foam) was placed beneath patients and patient positioning was used during robotic-assisted procedures.
Measurements And Main Results:
Patient position was marked before and after surgery. Measurements of shift distance before and after surgery were determined for each patient. Median (range) shift distance was 1.3 (0-7.5) cm. There was no significant association between shift in position and either body mass index or duration of the Trendelenburg position. No shoulder neuropathic injuries were observed during the study.
Conclusion:
Minimal patient shifting is observed with the use of an antiskid material and patient positioning described, without the use of shoulder braces and straps.
