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Navigating the OR Table

January 07, 2016


Let's review the basic principles for navigating the operating room table. I appreciate the help of one of our OR staff members for recording this video. The supine position is the most common position for neurosurgical procedures for the patient. I'm going to review nuances which will avoid slippage and displacement of the patient on the operant table during tilting or different movements of the OR table in order to bring the operative field into an optimal position. When the patient is initially positioned on the operant table I flex the bed as you can see here, and then bring their leg down. This configuration prevents slippage of the patient caudally if the reverse Trendelenburg position is used aggressively. Here you can see the flex position with their leg down. I avoid using the table completely flat while using the reverse Trendelenburg vector as that may lead to displacement of the patient. Here is the reverse Trendelenburg position and Trendelenburg position after the patient is placed in a skullclamp, only the reverse Trendelenburg and Trendelenburg positions, as well as tilting to the left and right are used to avoid any traction or undue force on the neck of the patient. Here you can see the tilting to the left and right allowed as well as reverse Trendelenburg and Trendelenburg vectors after the patient head is fixed in a Mayfield pinion. Thank you.

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