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Continuing Education in Anaesthesia, Critical Care & Pain 2004 4(5):160-163; doi:10.1093/bjaceaccp/mkh044
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Continuing Education in Anaesthesia, Critical Care & Pain | Volume 4 Number 5 2004 © The Board of Management and Trustees of the British Journal of Anaesthesia 2004

Patient positioning in anaesthesia

David JW Knight, MRCP FRCA, Specialist Registrar
Queen's Medical Centre, Nottingham, NG7 2UH

Ravi P Mahajan, DM FRCA, Reader and Honorary Consultant
University of Nottingham and City Hospital, Nottingham, NG5 1PB
Tel: 01159 709229, Fax: 01159 709039, E-mail: ravi.mahajan{at}nottingham.ac.uk (for correspondence)

The aim of optimal positioning for surgery is to provide the best surgical access while minimizing potential risk to the patient. Each position carries some degree of risk and this is magnified in the anaesthetized patient who cannot make others aware of compromised positions. Commonly adopted positions include supine, lithotomy, Lloyd Davies, lateral, seated and prone. Many of these are modified with the addition of a vertical tilt (Trendelenburg or reverse Trendelenburg). This article addresses the general complications associated with positioning as well as the position-specific physiological changes and complications.


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