Prospective assessment of positioning-related pain in robotic urologic surgery
| Autor: | Michael L. Cher, Kelsey Pape, Michael Levin, Kevin Ginsburg, Chase Heilbronn |
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| Rok vydání: | 2017 |
| Předmět: |
Dorsum
Adult Male medicine.medical_specialty 030232 urology & nephrology Patient positioning Pain Health Informatics Patient Positioning 03 medical and health sciences Young Adult 0302 clinical medicine Robotic Surgical Procedures medicine Urologic surgery Humans Robotic surgery Prospective Studies Wakefulness Prospective cohort study Volunteer Pain Measurement 030504 nursing business.industry LATERAL DECUBITUS Patient Preference Middle Aged Healthy Volunteers Lithotomy position Physical therapy Urologic Surgical Procedures Surgery Female Patient Safety 0305 other medical science business |
| Zdroj: | Journal of robotic surgery. 12(1) |
| ISSN: | 1863-2491 |
| Popis: | This was a prospective study to assess positioning-related pain in 20 awake volunteers in the dorsal lithotomy (DL) and lateral decubitus (LD) positions. Each volunteer was put through the series of discrete, sequential steps used to achieve a final position; each step had two options. The Wong-Baker scale (WB) was used to rate pain for each option and the preferred option and ad lib comments were recorded. We found that awake volunteers could clearly and immediately distinguish differences in pain levels between position options. For the DL position, volunteers favored having the arms slightly flexed and pronated as opposed to being straight and supinated reflected by statistically less painful WB scores and option preference. Volunteers preferred having the neck flexed as opposed to being flat. For the LD position, volunteers reported statistically lower pain scores and preference for a foam roll for axilla support as opposed to a rolled blanket, the table flexed without the kidney rest as opposed to a raised kidney rest, and the over arm board as oppose to stacked blankets for contralateral arm support. Ad lib comments from the volunteers supported the above findings. To our knowledge, ours is the first study to demonstrate objective preferences for variations in surgical positioning using awake volunteers. This exercise with awake volunteers resulted in immediate changes in positioning for real robotic surgery patients in our practice. |
| Databáze: | OpenAIRE |
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