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Paediatric anaesthesia · Jun 2024
ReviewPatient positioning and its impact on perioperative outcomes in children: A narrative review.
- Heather Patterson, Jonathan Eady, Aine Sommerfield, David Sommerfield, Neil Hauser, and Britta S von Ungern-Sternberg.
- Department of Anaesthesia and Pain Medicine, Perth Children's Hospital, Perth, Western Australia, Australia.
- Paediatr Anaesth. 2024 Jun 1; 34 (6): 507518507-518.
AbstractPatient positioning interacts with a number of body systems and can impact clinically important perioperative outcomes. In this educational review, we present the available evidence on the impact that patient positioning can have in the pediatric perioperative setting. A literature search was conducted using search terms that focused on pediatric perioperative outcomes prioritized by contemporary research in this area. Several key themes were identified: the effects of positioning on respiratory outcomes, cardiovascular outcomes, enteral function, patient and carer-centered outcomes, and soft issue injuries. We encountered considerable heterogeneity in research in this area. There may be a role for lateral positioning to reduce respiratory adverse outcomes, head elevation for intubation and improved oxygenation, and upright positioning to reduce peri-procedural anxiety.© 2024 The Authors. Pediatric Anesthesia published by John Wiley & Sons Ltd.
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