Auerhammer J
Klinik für Anästhesiologie und Operative Intensivmedizin, Klinikum Augsburg, Stenglinstrasse 2, 86156 Augsburg, Deutschland.
Anaesthesist. 2008 Nov;57(11):1107-24; quiz 1125-6. doi: 10.1007/s00101-008-1424-9.
The success of an operation does not only depend on a perfect surgical technique, an appropriate anesthesia, convenient surgical instruments and functional technical equipment, but also on a proper operative positioning. Meeting the requirements of the surgeon, the positioning has also to be in accordance with the patient's individual needs. Seemingly trivial in "simple" positions, there must be paid attention to details, as they can have serious harm to the patient if done incorrectly. The surgeon is in charge for the positioning, but the performance is done in a horizontal division of work between surgeon and anesthesiologist. This article describes standard positions, demonstrates their realization and special damages, and points out juristic aspects as well as technical items like operating table and positioning facilities.
手术的成功不仅取决于完美的手术技巧、合适的麻醉、便利的手术器械和功能良好的技术设备,还取决于恰当的手术体位。既要满足外科医生的要求,体位又必须符合患者的个体需求。在“简单”体位中看似微不足道的细节必须予以重视,因为如果操作不当可能会对患者造成严重伤害。外科医生负责确定体位,但具体操作是由外科医生和麻醉医生分工协作完成的。本文介绍了标准体位,展示了其实现方式及特殊损伤,并指出了法律方面的问题以及诸如手术台和体位固定设施等技术事项。