Injury prevention by surgical positioning: Integrative review

• Autor(a) principal: Souza, Fernanda Ferreira e
• Data de Publicação: 2024
• Outros Autores: Barreto, Monique Soares da Costa, Silva, Maria Virginia Godoy da, Silva, Leandro Andrade da, Sampaio , Carlos Eduardo Peres, Silva Junior , Milton Domingues da, Santos, Silvia Regina Martins dos
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/44835
• topic: Patient positioning; Intraoperative period; Wounds and injuries; Pressure injury; Nursing; Perioperative nursing; Operating rooms.; Posicionamento do paciente; Período intraoperatório; Feridas e lesões; Lesão por pressão; Enfermagem; Enfermagem perioperatória; Salas operatórias.; Posicionamiento del paciente; Periodo intraoperatorio; Heridas y lesiones; Lesión por presión; Enfermería; Enfermería perioperatoria; Quirófanos.

Surgical positioning promotes access to the surgical site; it must be carried out correctly, guaranteeing stability and safety for the patient, preventing complications. Objectives: analyze scientific productions on injury prevention through surgical positioning of adult patients intraoperatively; identify injuries resulting from failures and procedures used to prevent injuries resulting from surgical positioning. Methodology: integrative literature review study, prepared according to recommendations from the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guiding question: “what are the approaches to preventing injuries resulting from surgical positioning?” The inclusion criteria for the studies were: portraying the chosen theme; in portuguese, english and spanish; available for free and found with full text. The publication period covered january 2017 to july 2022. The expected exclusion criteria: incomplete text; articles not available for free; articles out of scope and not available for free. To select the articles, the BDENF, LILACS, MEDLINE and Scopus databases were used. Results: 13 studies selected, predominantly brazilian. Discussion: analysis categories: predictive scales, support surfaces, surgical position and affected regions; continuing education. Conclusion: predictive scales constitute a safe assessment practice, directing actions, scoring higher risk conditions. All surgical positions may pose some risk. The dry viscoelastic polymer mattress and viscoelastic cushions contribute to a low risk score on the elpo scale. Continuing education will be essential to maintain good practices, including the use of predictive scales.