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An inexpensive device for perioperative positioning of pediatric patients
A Aslam1, P Saunders, M T Corbally
1Department of Paediatric Surgery, Royal Hospital for Sick Children, Bristol, United Kingdom.
Insights
A new, inexpensive technique improves intraoperative positioning for pediatric venous access. This method avoids the need to remove positioning aids for on-table radiography, simplifying the procedure for over 80 patients.
Area of Science:
- Pediatric Anesthesiology
- Medical Device Innovation
- Surgical Procedures
Background:
- Current intraoperative positioning for pediatric venous access involves sandbags and a head-down tilt.
- This method presents limitations, requiring removal for on-table radiography.
- This can complicate and prolong the procedure.
Purpose of the Study:
- To introduce a novel, cost-effective technique for intraoperative positioning during pediatric venous access.
- To overcome the limitations of existing positioning methods, particularly regarding radiography.
- To enhance procedural efficiency and patient safety.
Main Methods:
- A simple, inexpensive positioning device was developed and implemented.
- The technique was utilized in over 80 pediatric patients undergoing venous access procedures.
- Ease of use and facilitation of on-table radiography were key considerations.
Main Results:
- The devised technique was successfully employed in more than 80 pediatric patients.
- No complications or adverse events related to the positioning device were reported.
- The technique readily facilitated the performance of on-table radiography.
Conclusions:
- The new positioning technique is safe, effective, and inexpensive for pediatric venous access.
- It simplifies the procedure by eliminating the need to remove positioning aids for radiography.
- This innovation offers a practical solution for improving intraoperative management in pediatric patients.
Abstract:
Intraoperative positioning of the pediatric patient during venous access procedures is crucial. Currently such patients are positioned with a sandbag beneath the shoulders and in a head-down position. This has significant limitations because the bag must be removed for subsequent on-table radiography. The authors have devised a simple inexpensive technique that obviates this need and facilitates the procedure. They have used the device in over 80 patients undergoing venous access. No problems relating to the device have been noted, and on-table x-rays are readily facilitated.