Use of anti-skid material and patient-positioning to prevent patient shifting during robotic-assisted gynecologic procedures.

摘要

STUDY OBJECTIVE: To estimate patient shifting with the current practice of use of an antiskid material and patient positioning during robotic procedures in gynecology. DESIGN: Pilot observational study (Canadian Task Force classification). SETTING: Tertiary referral center. PATIENTS: Twenty-two women undergoing robotic-assisted gynecologic procedures. INTERVENTION: Antiskid material (egg-crate pink foam) was placed beneath patients and patient positioning was used during robotic-assisted procedures. MEASUREMENTS AND MAIN RESULTS: Patient position was marked before and after surgery. Measurements of shift distance before and after surgery were determined for each patient. Median (range) shift distance was 1.3 (0-7.5) cm. There was no significant association between shift in position and either body mass index or duration of the Trendelenburg position. No shoulder neuropathic injuries were observed during the study. CONCLUSION: Minimal patient shifting is observed with the use of an antiskid material and patient positioning described, without the use of shoulder braces and straps.