Patient positioning and its impact on perioperative outcomes in children: A narrative review

Patient 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 conduc...

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Bibliographic Details
Published in:Pediatric anesthesia 2024-06, Vol.34 (6), p.507-518
Main Authors: Patterson, Heather, Eady, Jonathan, Sommerfield, Aine, Sommerfield, David, Hauser, Neil, Ungern‐Sternberg, Britta S.
Format: Article
Language:English
Subjects:
adverse events
anesthesia
Child
children
Humans
outcomes
Patient Positioning - methods
pediatric
perioperative
Perioperative Care - methods
positioning
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Summary:Patient 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.
ISSN:1155-5645
1460-9592
DOI:10.1111/pan.14883