4 vị trí điều hành tiêu chuẩn bảng 1, vị trí 2 hoặc bảng điều hành phổ 4 gây mê chuẩn bị và khởi phát chuyển trong tư thế nằm ngửa với 2 thiết bị định vị thích nghi cánh tay 4 ngang vị trí đầu bảng hoạt động trong nhà hát 4 Khi định vị bệnh nhân, thực hiện các biện pháp thích hợp để ngăn chặn decubitus tại các khu vực đang phải chịu áp lực | 152 Chapter 12 Vascular surgery Upper extremities Supine position D Figs. . Indications Embolectomies of the upper extremities shunt placement Cimino shunt shunt revisions shunt connections . axillofemoral bypass. Preparations 4 Arm positioning devices 4 Large arm table Positioning 4 Standard operating table position 1 position 2 or universal operating table 4 Anaesthetic preparation and induction in supine position with 2 adapted arm positioning devices 4 Crosswise positioning of the operating table top in the theatre 4 When positioning the patient take appropriate measures to prevent decubitus at areas which are subjected to pressure 4 Remove the arm positioning device on the operating side and attach the large arm rest to the side rail of the back plate 4 Position the patient near to the edge of the table 4 Standard supine position position the infusion arm on the arm positioning device 4 Apply the neutral electrode and connect to the HF surgery device 4 Arrange self-adhesive covers for preoperative skin disinfection 4 Position the operating lights 4 Patient warming system 153 12 Upper extremities o Fig. . Supine position with arm in abduction. The back plate can be adjusted during the operation without jeopardising the stability of the large arm table o Fig. . Arm positioning . for shunt placement and shunt connections 154 Chapter 12 Vascular surgery Lower extremities Supine position D Figs. . Indications Angioplasty procedures . profundaplasty patch graft shunts . Y-shunt aneurysms . abdominal aortic aneurysm embolectomies to the lower extremities prosthesis connections . axillofemoral bypass. Preparations 4 Arm positioning devices Positioning 4 Standard operating table position 1 position 2 or universal operating table 4 Anaesthetic preparation and induction in supine position with 2 adapted arm positioning devices 4 Normal positioning of the operating table in the theatre 4 When .
