Outpatient Surgery Magazine

The Secret of Gritflowness - October 2020 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://outpatientsurgery.uberflip.com/i/1295122

Contents of this Issue

Navigation

Page 60 of 75

the length of the table four to five inches in each direction. The ability to reconfigure the top of the table with minimum fuss is key. I work with a flat top for cases such as anterior cervi- cal or lumbar fusion procedures where the patient is lying flat on their back. If a patient is placed in the prone position, we'll often add a Wilson frame, which provides padding for the patient's face and chest, and naturally posi- tions them in a neutral posture that enables me to access the posterior part of the spine. We also use a configuration I call "Jackson with four posts," which involves attaching posts that make contact only with the patient's thighs, pelvis and chest, leaving the abdomen entirely free. The positioning of the posts changes the curvature of the patient's spine, which can be helpful when we're trying to reconstruct its alignment. By sim- ply changing the position of the posts, the task becomes a bit easier. Spine tables are fairly mature pieces of equipment, but there's at least one area in which they can improve. I perform a lot of minimally invasive surger- ies that involve the use of tubular retractors, the arms of which connect to the table to ensure the retractor stays exactly where I want it while it's inside the patient. But the area where the arm con- nects to my table is through a holder that wasn't meant for a Jackson table. We end up jury-rigging the set-up, but I'd like to see manufacturers expand my options for how to attach these arms to tables. OSM Dr. Qureshi (qureshis@hss.edu) is the Patty and Jay Baker endowed chair in minimally invasive spine surgery at the Hospital for Special Surgery and an associate professor of orthope- dic surgery at Weill Cornell Medical College in New York City. O C T O B E R 2 0 2 0 • O U T P A T I E N T S U R G E R Y . N E T • 6 1 Hillrom Allen Advance Table hillrom.com 800-445-3730 This table, designed for complex spine procedures, can accommo- date patients weighing up to 600 pounds. The company notes that the table, which offers radiolucen- cy through its entire working length, rotates through 360° to make it easy to switch anes- thetized patients between supine and prone positions. Features designed with safety and conven- ience in mind include central locking wheel castors that help staff members maneuver the table around the OR and numbered H-Brackets for improved communication among staff members who are attaching varying tabletops to the base. The unique H-bracket design also ensures the surface won't fall to the floor if the wrong pin is accidentally pulled when patients are being repositioned. The ability to reconfigure the top of the table with minimum fuss is key.

Articles in this issue

Links on this page

Archives of this issue

view archives of Outpatient Surgery Magazine - The Secret of Gritflowness - October 2020 - Subscribe to Outpatient Surgery Magazine