Как правильно пользоваться ручным операционным столом

In the world of healthcare, precision and control are paramount. Manual operating tables, often referred to as OT tables, are essential tools that provide surgeons with the ability to position patients optimally during surgery. Properly operating these tables is crucial for ensuring the success and safety of surgical procedures. In this comprehensive guide, we will delve into the intricacies of how to properly operate a manual operating table.

Understanding the Basics

Before we dive into the step-by-step instructions, it’s essential to have a basic understanding of what a manual operating table is and its components.

Что такое ручной операционный стол?

A manual operating table is a specialized piece of medical equipment designed for surgical procedures. Unlike automated tables, which use motors and electronic controls, manual tables are operated manually by healthcare professionals. They offer a range of adjustments and features to optimize patient positioning during surgery.

Components of a Manual Operating Table

A manual operating table typically consists of the following components:

Tabletop

• The tabletop is the surface on which the patient lies during surgery. It is designed to provide a stable and supportive platform for the patient throughout the procedure.

• It is usually divided into sections that can be adjusted to achieve various positions, such as the head, back, and leg sections, allowing surgeons optimal access to the surgical site and improving patient positioning for different procedures.

Base and Wheels

• The base provides stability to the table and often has wheels for easy mobility within the operating room, ensuring the table remains securely in place during procedures while allowing for quick repositioning when needed.

Manual Controls

• Manual controls include hand cranks or levers that allow healthcare professionals to adjust the table’s height, tilt, and lateral tilt, providing precise mechanical manipulation of the patient’s position during surgery.

Step-by-Step Guide to Operating a Ручной операционный стол

Preparing the Operating Table

Before the surgery begins, thorough preparation of the operating table is crucial:

Позиционирование

• Place the operating table in the desired location within the operating room, ensuring that it is level and stable. This is critical for patient safety and allows the surgical team to work effectively without concern for table shifts during the procedure.

• Ensure the wheels are locked to prevent any unintended movement. This crucial step secures the table firmly in place throughout the surgery, minimizing risk and maintaining the sterile field.

Очистка и стерилизация

• Clean and disinfect the table’s surface using hospital-approved disinfectants to maintain a sterile environment. This step is essential to prevent the spread of infections and ensure a safe surgical field for every patient.

Adjusting the Table

Properly adjusting the manual operating table is essential for the surgeon’s comfort and the patient’s safety:

Adjusting Height

• Use the manual controls to adjust the table’s height to the desired level for the surgical team’s comfort. Proper height adjustment helps reduce physical strain on the surgeons and nurses, allowing them to maintain focus and precision throughout the procedure.

Positioning the Patient

• Carefully position the patient on the tabletop, ensuring proper alignment with the surgical site. Correct patient positioning is crucial for providing the surgical team optimal access, maintaining patient safety, and facilitating a successful outcome.

Achieving the Desired Surgical Position

• Use the manual controls to adjust the tabletop’s sections (head, back, and leg) to achieve the necessary surgical position. Precise adjustment of these sections is vital for providing optimal exposure of the surgical area and facilitating the surgeon’s work.
• Ensure the patient is secure and comfortable. Proper securing prevents unintended movement during the procedure, enhancing patient safety and allowing the surgical team to focus on the task at hand without distraction.

Locking and Verifying

Locking the Table

• Once the desired position is achieved, lock the table’s settings using the provided locking mechanisms to prevent any accidental adjustments during surgery. This action ensures the patient remains stable and the surgical field is undisturbed throughout the procedure, minimizing risk and allowing the medical team to operate with confidence.

Verifying Position

• Double-check the patient’s position to ensure it aligns with the surgical plan and any imaging equipment being used. Confirming this alignment is crucial for procedural accuracy, ensuring clear imaging views, and facilitating the surgeon’s ability to follow the planned approach precisely.

During Surgery

During the surgical procedure, it’s essential to maintain awareness of the table’s position and make adjustments if necessary:

Monitoring Patient Comfort

• Continuously monitor the patient’s comfort and positioning, making adjustments as needed to alleviate any discomfort. This ongoing vigilance is essential for preventing pressure injuries, maintaining circulation, and ensuring patient well-being throughout the duration of the surgical procedure.

Collaborating with the Surgical Team

• Work closely with the surgical team to ensure that the table’s position is conducive to the procedure’s success. Effective collaboration guarantees that the table is positioned optimally for access, visibility, and the safe use of surgical instruments, directly supporting the efficiency and outcome of the operation.

часто задаваемые вопросы

Q1: Can manual operating tables be used in all types of surgeries?

• Manual operating tables are versatile and can be used in a wide range of surgical procedures. However, they may not be suitable for highly specialized surgeries where precise automated adjustments are required.

Q2: Are there weight limits for patients on manual operating tables?

• Manual operating tables have weight limits that vary by model. It’s essential to adhere to the manufacturer’s guidelines to ensure patient safety.

Q3: Can manual tables accommodate imaging equipment?

• Some manual operating tables come with radiolucent tabletops, which allow compatibility with imaging equipment like C-arms.

Q4: How often should manual operating tables be serviced and maintained?

• Regular servicing and maintenance are essential to keep manual operating tables in optimal condition. It’s recommended to follow the manufacturer’s maintenance schedule and guidelines.

Q5: Are there any safety precautions to be aware of when operating a manual operating table?

• Yes, safety is paramount. Always lock the table’s settings once the desired position is achieved, and regularly verify the patient’s positioning during surgery to prevent complications.

Вывод

Properly operating a manual operating стол is a fundamental skill for healthcare professionals involved in surgical procedures. This guide has provided a step-by-step overview of the process, from preparation to patient positioning and ongoing monitoring. By adhering to best practices and safety measures, healthcare teams can ensure the success and safety of surgical interventions.

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