Lateral Decubitus

This position is often used for procedures requiring access to the thorax, retroperitoneal structures, hip, or shoulder. Flexion of dependent leg and hip helps keep alignment and stabilizes ...

Lithotomy

This position is used for procedures requiring access to any perineal structure, such as gynecological, rectal, and urologic surgeries.

image

The hips are flexed 80-100 degrees, and the lower legs ...

Prone

This position is used for various spine procedures, including access to the posterior fossa, procedures of the buttocks and perirectal area, and lower extremity procedures.

image

To identify any ...

Reverse Trendelenburg

This position is used to facilitate upper abdominal surgery with displacement of abdominal content caudal.

image

Anesthetic considerations

  • Hypotension due to decreased venous return – pooling in ...

Sitting/Beach chair

This position may be used for posterior fossa and cervical spine procedures. It provides excellent surgical exposure, facilitates blood and cerebral spinal fluid drainage, and decreases blood in the ...

Supine

This is the most common surgical position, but there are many associated variations, such as Trendelenburg, reverse Trendelenburg, or variations of chair positions.

Preventive measures

Protect ...

Trendelenburg

The head-down Trendelenburg position is used to improve exposure in abdominal and laparoscopic surgeries, robotic surgeries, central line placement, and as an option to help treat hypotension.