Turner C D, Anderson J, Gerber G S
Department of Surgery, University of Chicago Pritzker School of Medicine, Illinois, USA.
J Urol. 2000 Jan;163(1):199-200.
We describe modified patient positioning on the Cloward surgical saddle for use during percutaneous nephroscopic procedures.
The Cloward surgical saddle, which was designed for prone patient positioning, has been used primarily for lumbar surgery. We evaluated the use of the surgical saddle for ease of patient positioning during percutaneous nephroscopic procedures.
We have used the surgical saddle in 10 patients to date, including 1 who was 5 feet 8 inches (173 cm.) tall and who weighed 370 pounds (168 kg.). In all cases pulmonary airway pressure was maintained at less than 30 cm. water. We have observed no incidence of pressure injury or other complications associated with position.
Patient positioning during percutaneous nephroscopic surgery is important for preventing pressure injury and allowing adequate pulmonary ventilation. The surgical saddle is an excellent aid for secure patient positioning during percutaneous nephroscopic procedures that helps to minimize the risk of pressure injury and pulmonary compromise.
我们描述了在经皮肾镜手术过程中使用的改良式患者体位，采用克洛德手术鞍座。
克洛德手术鞍座专为俯卧位患者体位设计，主要用于腰椎手术。我们评估了该手术鞍座在经皮肾镜手术过程中便于患者体位摆放的应用情况。
截至目前，我们已在10例患者中使用了该手术鞍座，其中1例患者身高5英尺8英寸（173厘米），体重370磅（168千克）。在所有病例中，气道压力均维持在30厘米水柱以下。我们未观察到与体位相关的压力性损伤或其他并发症的发生。
经皮肾镜手术期间的患者体位摆放对于预防压力性损伤和保证充分的肺通气非常重要。手术鞍座是经皮肾镜手术期间确保患者体位安全的极佳辅助工具，有助于将压力性损伤和肺功能受损的风险降至最低。
