Beach Chair Position

Secure the head to an appropriate head rest and secure the oral tube. The beach chair position is a reliable safe and effective position to perform nearly all types of shoulder arthroscopic procedures. Complications of the beach chair position robert r.

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The 2 principle patient positions during shoulder arthroscopy include the beach chair position and lateral decubitus position.

Beach chair position. Shoulder arthroscopy is an orthopaedic procedure that has grown significantly in popularity over the last 40 years. The arm is allowed to hang freely at the side. The sitting and beach chair position bcp are variations of nearly the same position with similar physiologic changes and potential complications. No traction is required.

The beach chair barbershop position was developed in the 1980s for orthopedic shoulder arthroscopy procedures. One of 2 positions the other is lateral decubitus for shoulder arthroscopy in the bcp the patient is sits upright with the back of the bed flexed at 70º to 80º. It is helpful to place the trunk almost upright with an almost hanging arm to help reduce the fracture by ligamentotaxis and gravity. Arthroscopic shoulder surgery can be performed in both the beach chair and lateral decubitus positions.

For this reason they will be discussed in. Bring the torso up into the beach chair position. Cullen case summary a 61 year old american society of anesthesiologists physical status classification i asa i male patient underwent general anesthesia for repair of a torn rotator cuff in his right shoulder. After induction of anesthesia he was placed in an upright 60 to 65.

Patients are sat up at angles varying from 30 90 above the horizontal plane with appropriate padding and with the head secured in a headrest. The nsw deputy state coroner found this was the result of cerebral hypoperfusion caused by a failure to estimate and. This technical note details the operating room setup for shoulder arthroscopy in the beach chair position. The advantages of the beach chair position include the ease of setup limited brachial plexus stress increased glenohumeral and subacromial visualization.

The patient is positioned so that the affected shoulder hangs off the side of the bed. Approximately two thirds of the more than 400 000 shoulder surgery procedures performed annually in the united states are performed with the patient s head elevated above the horizontal a position know as the beach chair position bcp. Surgery in the beach chair position quality and safety in august 2011 a 50 year old former rugby player died as a result of a stroke which occurred during arthroscopic shoulder surgery in the beach chair position. 1 2 this position affords better intraarticular visualization and less risk of neurovascular trauma than when patients are placed in the.