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Other Support Surfaces
Published in J G Webster, Prevention of Pressure Sores, 2019
In order to accommodate the optimal surgical access and to obtain proper physical support, the operating table is adjusted to various surgical positions. The specific weight-bearing regions are at risk of pressure sore formation. In fact, the standard operating table that is constructed with a 25–50 mm foam mattress offers little protection to anesthetized patients.
Far Lateral Approach for Removal of Foramen Magnum Meningioma
Published in Cut Adeya Adella, Stem Cell Oncology, 2018
The patient is placed in the lateral recumbent position on the operating table, with the head positioned in the Mayfield holder. The head is laterally flexed -30 degrees, contralateral to the lesion, and flexed anteriorly so that the chin is 1 cm from the sternum.
Design and development of an ergonomic neonatal surgical table
Published in Journal of Medical Engineering & Technology, 2022
Obinna P. Fidelis, Martins E. Amaechi, Ephraim O. Nwoye
Doing surgeries on a newborn while using an adult-size surgical table causes various issues due to the table's size [9]. The surgeon is forced to experiment with bending and twisting postures, which, while difficult, may appear to be acceptable to get better access to the surgical site. This is unpleasant and inconvenient, and it places unnecessary strain on the surgeon's back, neck, and abdominal muscles. If these twisted and bending positions are performed repeatedly over a long period of time, they often become harmful. Consequently, musculoskeletal problems are common. Musculoskeletal diseases were responsible for 30% of the workdays lost due to illnesses, suggesting that surgeons are not immune to musculoskeletal ailments [10]. In addition to the awkward postures maintained during surgery, the surgeon must frequently walk back and forth around the operating table to gain access [9]. As a result, improving the existing method could minimise the surgeon's risk of occupational injury while also reducing patient vulnerability and promoting operating room efficiency [11]. In addition, operating tables must have adjustable heights to meet the wide range of heights of surgeons in order to prevent awkward postures during surgical procedures [3].
Effect of forced-air warming blankets on indoor air quality in unidirectional flow operating theatres
Published in Science and Technology for the Built Environment, 2023
Gonzalo Sánchez-Barroso, Jaime González-Domínguez, Justo García-Sanz-Calcedo
The typical medical personnel present during surgery was also included: five mannequins arranged two on each side of the patient and one at the patient’s head. The dimensions and physical characteristics of a person measuring 1.80 m in height and weighing 75 kg with a density of 950 kg/m3 and a thermal conductivity of 3,300 J/(kg-K) were defined. The surface temperature of the people was set at 33.5 °C. The patient was also given the same physical characteristics as the surgeons and was modeled lying on the operating table with a thermal blanket covering the entire body, except for the abdomen, the area on which the surgery was performed.
Energy use optimization in ventilation of operating rooms during inactivity periods
Published in Building Research & Information, 2021
Ana Tejero-González, Víctor M. DeFreitas-Barros-Galvão, Andrés M. Zarzuelo-Sánchez, Julio F. SanJosé-Alonso
Operating rooms are areas of particular risk. Their HVAC systems must ensure four targets: (a) achieve particular indoor comfort; (b) avoid air infiltrations from outside the operating room; (c) control the indoor concentration of particles, Colony Forming Units, organic volatile compounds, etc. generated by the indoor activity and from the outside; and (d) create an airflow pattern that prevents polluted air to reach the operating table or the instruments and that takes away particles and droplets from the operating table, generated during the activities from the patient and the surgery team.