Change of Patient Position Using a Transportation Board During Lumboperitoneal Shunting : Technical Note
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概要
- 論文の詳細を見る
Lumboperitoneal shunt placement requires access to the lumbar theca in the lateral position, followed by subsequent laparotomy in the supine position. This position change and repeat draping are bothersome, especially in heavy patients, so we developed a method that facilitates changing the patient position while keeping the surgical drapes in place. An oblong plastic board covered with Teflon-coated glassfiber cloth and surrounded by a nylon-cloth sleeve is used. The sleeve can be easily moved over the board, so patients can be moved in the transverse direction with minimal pushing force. The patient is placed in the lateral position on the board on the operating table and draped from the back to the abdomen. After catheter insertion into the lumbar theca and introduction of a subcutaneous tunnel to the flank, the patient is pushed in the ventral direction, moved to the opposite edge of the operating table, and the position is changed from lateral to supine, leaving the original drape intact. Finally, a catheter is placed by laparotomy. We were able to change position easily in 20 patients weighing 47-85 kg (mean 69.6 kg). This technique reduces the labor required for position change and preserves sterility.
- 社団法人 日本脳神経外科学会の論文
- 2009-04-15
著者
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SHIMIZU Satoru
Departments of Neurosurgery Kitasato University School of Medicine
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FUJII Kiyotaka
Departments of Neurosurgery Kitasato University School of Medicine
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Shimizu Satoru
Department Of Neurosurgery Kitasato University School Of Medicine
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Fujii Kiyotaka
Department Of Neurosurgery Kitasato University School Of Medicine
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Fujii Kiyotaka
北里大学 医学部脳神経外科
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Fujii Kiyotaka
Kitasato Univ. School Of Medicine
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NAKAYAMA Kenji
Department of Neurosurgery, Oomuta Municipal Hospital
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HAGIWARA Hiroyuki
Department of Neurosurgery, Yokohama Stroke and Brain Center
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HATTORI Satoshi
Department of Anesthesiology, Yokohama Stroke and Brain Center
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Fujii Kiyotaka
Department Of Brain Sugery School Of Medicine Kitasato University
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Suzuki Sachio
Department Of Neurosurgery Kitasato University School Of Medicine
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Nakayama Kenji
Department Of Neurosurgery Yokohama Stroke And Brain Center
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Hagiwara Hiroyuki
Department Of Electronic Engineering Faculty Of Engineering Gunma University
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Hagiwara Hiroyuki
Department Of Neurosurgery Yokohama Stroke And Brain Center
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Shimizu Satoru
Department Of Neurosurgery Yokohama Stroke And Brain Center
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Hattori Satoshi
Department Of Anesthesiology Yokohama Stroke And Brain Center
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Nakayama Kenji
Department Of Cardiothoracic Surgery Niigata Prefectural Shibata Hospital
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Shimizu Satoru
Department Of Hygiene And Public Health I Tokyo Women's Medical University
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Shimizu Satoru
Kitasato Univ. School Of Medicine Kanagawa Jpn
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Shimizu Satoru
Department Of Biotechnology Faculty Of Engineering Kyoto Sangyo University
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FUJII Kiyotaka
Department of Neurosurgery, Kitasato University School of Medicine
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Hagiwara Hiroyuki
Department of Electrical and Electronic Engineering, College of Engineering, Nihon University, Koriyama, Fukushima 963-8642, Japan
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