Frimley Park Hospital, Portsmouth Road, Camberley, Surrey GU16 7UJ, UK.
Bone Joint J. 2013 Oct;95-B(10):1317-9. doi: 10.1302/0301-620X.95B10.32527.
Most posterior hindfoot procedures have been described with the patient positioned prone. This affords excellent access to posterior hindfoot structures but has several disadvantages for the management of the airway, the requirement for an endotracheal tube in all patients, difficulty with ventilation and an increased risk of pressure injuries, especially with regard to reduced ocular perfusion. We describe use of the 'recovery position', which affords equivalent access to the posterior aspect of the ankle and hindfoot without the morbidity associated with the prone position. A laryngeal mask rather than endotracheal tube may be used in most patients. In this annotation we describe this technique, which offers a safe and simple alternative method of positioning patients for posterior hindfoot and ankle surgery.
大多数后足手术都是在患者俯卧位的情况下进行的。这种体位可以提供极好的后足结构的手术入路，但对于气道管理有几个缺点，所有患者都需要气管插管，通气困难，压疮风险增加，特别是对于眼灌注减少的患者。我们描述了使用“复苏体位”，该体位可以提供与俯卧位相同的后踝和后足手术入路，而不会出现与俯卧位相关的发病率。大多数患者可能使用喉罩而不是气管插管。在本注解中，我们描述了这种技术，它为后足和踝关节手术的患者提供了一种安全、简单的替代体位方法。
