Andrew Howard, Theddy Slongo, Peter Schmittenbecher
The following are essential for successful surgery:
Operating room personnel (ORP) need to know and confirm:
The surgeon should make sure that:
Place the patient in a lateral decubitus position on the uninjured side, as close as possible to the edge of the table, with trunk support front and back.
The contralateral shoulder must be carefully positioned to prevent brachial plexus injury.
Place the injured arm either on a gutter support beneath the upper arm, or over a padded arm roll under the elbow.
Position the C-arm parallel to the operating table.
For AP view extend the elbow.
For lateral view rotate the C-arm, not the forearm.
With an assistant holding the arm, disinfect the entire arm down to the fingertips.
Drape the hand in a glove or leave it free.
Drape the arm up to the shoulder.
The optimal position of the surgeon is perpendicular to the operating table in front of the elbow.
The position of the screen should allow a direct view for the surgeon.
The position of operating room personnel should permit ergonomic assistance.