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Techniques for Patient Positioning During Burn Surgery: A Systematic Review
Sebastian Q Vrouwe1, Christopher H Pham, T Justin Gillenwater
1From the Division of Plastic and Reconstructive Surgery, University of Southern California, Los Angeles, CA.
Annals of Plastic Surgery
|January 9, 2020
Summary
Optimizing patient positioning in burn surgery is crucial. This review found various techniques, with overhead suspension and table modifications showing no complications, aiding safer surgical procedures.
Area of Science:
- Surgical Techniques
- Patient Safety
- Burn Care
Background:
- Operating room patient positioning presents challenges in burn surgery.
- Critically ill burn patients require specialized handling and monitoring.
- Existing literature details various intraoperative positioning methods.
Purpose of the Study:
- To review and outline intraoperative patient positioning techniques used in burn surgery.
- To identify and report complications associated with these positioning methods.
Main Methods:
- Systematic review of PubMed, Scopus, and OvidSP MEDLINE databases.
- Inclusion criteria: articles describing intraoperative patient positioning for burn surgery.
- Primary outcome: complications related to surgical positioning.
Main Results:
- Ten studies met inclusion criteria.
- Overhead suspension and table modification techniques reported no complications.
- Limb fixation techniques reported minor complications like pin site infections and hardware failure.
Conclusions:
- Multiple techniques exist to enhance patient positioning during burn surgery.
- Most methods utilize standard equipment and appear safe.
- Effective positioning can facilitate safer and more efficient burn operations.
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