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2023 | OriginalPaper | Hoofdstuk

6. Positionering en thermoregulatie

Auteurs : Randy Beenders, Ewout Sanders

Gepubliceerd in: De anesthesiemedewerker

Uitgeverij: Bohn Stafleu van Loghum

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Samenvatting

Het positioneren van een patiënt op de operatiekamer is een samenwerking tussen de operateur, anesthesioloog, anesthesiemedewerker en operatieassistent. Het gehele team draagt zorg voor het voorkómen van complicaties als gevolg van een onjuiste positionering. De rug-, buik- en zijligging zijn de meest voorkomende houdingen tijdens een operatie. Algemene en neuraxiale anesthesie verstoort de thermoregulatie bij een operatieve patiënt, waardoor een verhoogd risico ontstaat om complicaties zoals hypothermie te ontwikkelen. Ook het risico van decubitus en zenuwletsel komt aan bod.
Literatuur
4.
go back to reference Riley C, Andrzejowski J. Inadvertent perioperative hypothermia. BJA Educ. 2018;18(8):227–33.CrossRef Riley C, Andrzejowski J. Inadvertent perioperative hypothermia. BJA Educ. 2018;18(8):227–33.CrossRef
5.
go back to reference Leslie RA, Johnson EK, Thomas G, Goodwin APL. Dr Podcast scripts for the final FRCA. Cambridge: Cambridge University Press; 2011. Leslie RA, Johnson EK, Thomas G, Goodwin APL. Dr Podcast scripts for the final FRCA. Cambridge: Cambridge University Press; 2011.
6.
go back to reference Miller RD, Erikkson LI, Fleisher LA, Wiener-Kronish JP, Cohen NH, editors. Miller’s anesthesia. 2-volume set. 8th revised ed. Philadelphia (PA): Elsevier Saunders; 2014. Miller RD, Erikkson LI, Fleisher LA, Wiener-Kronish JP, Cohen NH, editors. Miller’s anesthesia. 2-volume set. 8th revised ed. Philadelphia (PA): Elsevier Saunders; 2014.
7.
go back to reference Noordzij PG, Klimek M, Landman J. Klinische anesthesiologie. 3e druk. Utrecht: De Tijdstroom; 2017. Noordzij PG, Klimek M, Landman J. Klinische anesthesiologie. 3e druk. Utrecht: De Tijdstroom; 2017.
8.
go back to reference Brismoutier M, Cuyvers A, De Man F, Heyman H, Van Genechten N. Positioneren op de operatietafel: aandachtspunten en suggesties. WCS. 2005;21:15–20. Brismoutier M, Cuyvers A, De Man F, Heyman H, Van Genechten N. Positioneren op de operatietafel: aandachtspunten en suggesties. WCS. 2005;21:15–20.
9.
go back to reference Hewson DW, Bedforth NM, Hardman JG. Peripheral nerve injury arising in anesthesia practice. Anesthesia. 2018 Jan;73(Suppl 1):51–60.CrossRef Hewson DW, Bedforth NM, Hardman JG. Peripheral nerve injury arising in anesthesia practice. Anesthesia. 2018 Jan;73(Suppl 1):51–60.CrossRef
10.
go back to reference Serrano ML, González Méndez M, Carrasco Cebollero F, Lima Rodríguez J. Risk factors for pressure ulcer development in Intensive Care Units: a systematic review. Med Intensiva. 2017 Aug–Sep;41(6):339–346. Serrano ML, González Méndez M, Carrasco Cebollero F, Lima Rodríguez J. Risk factors for pressure ulcer development in Intensive Care Units: a systematic review. Med Intensiva. 2017 Aug–Sep;41(6):339–346.
11.
go back to reference Al-Otaibi Y-K, Al-Nowaiser N, Rahman A. Reducing hospital acquired pressure injuries. BMJ Open Qual. 2019 Feb 13;8(1): e000464.CrossRef Al-Otaibi Y-K, Al-Nowaiser N, Rahman A. Reducing hospital acquired pressure injuries. BMJ Open Qual. 2019 Feb 13;8(1): e000464.CrossRef
12.
go back to reference Verpleegkundigen en Verzorgenden Nederland (V&VN). Richtlijn Decubitus. Utrecht: V&VN; 2021. Verpleegkundigen en Verzorgenden Nederland (V&VN). Richtlijn Decubitus. Utrecht: V&VN; 2021.
13.
go back to reference Kee MM, Ho Y-H, Rozen WM. The prone position during surgery and its complications: a systematic review and evidence-based guidelines. Int Surg. 2015 Feb;100(2):292–303.CrossRef Kee MM, Ho Y-H, Rozen WM. The prone position during surgery and its complications: a systematic review and evidence-based guidelines. Int Surg. 2015 Feb;100(2):292–303.CrossRef
15.
go back to reference Junior-Kara N, Franca de Espindola R, Valverde Vilho J, Pellegrino Rosa C, Ottoboni A, Donizete Silva E. Ocular risk management in patients undergoing general anesthesia: an analysis of 39,431 surgeries. Clinics (Sao Paolo). 2015 Aug;70(8):541–3. Junior-Kara N, Franca de Espindola R, Valverde Vilho J, Pellegrino Rosa C, Ottoboni A, Donizete Silva E. Ocular risk management in patients undergoing general anesthesia: an analysis of 39,431 surgeries. Clinics (Sao Paolo). 2015 Aug;70(8):541–3.
16.
go back to reference Welch MB, Wahr JA, Crowley M. Patient positioning for surgery and anesthesia in adults; 2020. Welch MB, Wahr JA, Crowley M. Patient positioning for surgery and anesthesia in adults; 2020.
17.
go back to reference Postoperative Visual Loss Study Group. Risk factors associated with ischemic optic neuropathy after spinal fusion surgery. Anesthesiology. 2012;116:15–24.CrossRef Postoperative Visual Loss Study Group. Risk factors associated with ischemic optic neuropathy after spinal fusion surgery. Anesthesiology. 2012;116:15–24.CrossRef
18.
go back to reference Task Force ASA, on Perioperative Visual Loss (with spine surgery). Practice Advisory for Perioperative Visual Loss Associated with Spine Surgery. An Updated Report by the American Society of Anesthesiologists Task Force on Perioperative Visual Loss, the North American Neuro-Ophthalmology Society, and the Society for Neuroscience in Anesthesiology and Critical Care. Anesthesiology. 2019;2019(130):12–30. Task Force ASA, on Perioperative Visual Loss (with spine surgery). Practice Advisory for Perioperative Visual Loss Associated with Spine Surgery. An Updated Report by the American Society of Anesthesiologists Task Force on Perioperative Visual Loss, the North American Neuro-Ophthalmology Society, and the Society for Neuroscience in Anesthesiology and Critical Care. Anesthesiology. 2019;2019(130):12–30.
Metagegevens
Titel
Positionering en thermoregulatie
Auteurs
Randy Beenders
Ewout Sanders
Copyright
2023
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-2882-6_6