An operating table , sometimes called the operating room table , is the table where the patient is lying down during a surgical operation. This surgical device is usually found inside the hospital operating room.
Video Operating table
Definitions
Two main classifications: system and mobile
The operating table system consists essentially of three components: an operating table column, a table top and a transporter. Modern operating table systems are available both as a stationary and moving unit. There are various kinds of table tops that can be used for general operations and for specialist disciplines. However, mobile operating tables tend to be equipped with specific disciplines. The base, columns, and tables form a unit.
Since the table columns for the stationary operating table system are firmly attached to the floor, the necessary additional medical devices can be easily carried into the operation area and positioned. This device includes, for example, x-ray equipment, which can easily slide under the top of the table. For personnel, the system offers better leg room because the disturbing foot geometry no longer exists.
Additional elements can be customized with the operating table. This flexibility is very important as it allows the table to be adjusted to fit the relevant patient or surgical discipline.
The advantage of a mobile operating table, on the other hand, is that the table position can be changed inside the operating room. However, table legs limit the leg space available to the surgical team. Individual segments from the top of the table can be easily removed and replaced. They also allow x-rays and conduct electricity.
Another special feature of operating table systems is the ability to use appropriate interface modules to establish communication with diagnostic systems, eg, angiography, MR and CT. This is possible only with stationary columns because the system needs a fixed point.
Maps Operating table
Properties and requirements created from operating table
There are a number of basic functions that each operating table must satisfy to meet its requirements. For example, high of the operating table should be customizable . This is the only way a surgeon can adjust it to their height and thus work ergonomically. In addition, it should be possible to tilt the table to the left and to the right to ensure a better picture into the body cavity or using gravity to move organs (eg laparoscopy). In addition, the operating table segments individuals should also be customizable . This is the only way to ensure the necessary body anatomical arch and allow the extremity to be positioned for surgery. The further property of the top of the operating table is radiolucency . The radiolucent surface should be as large as possible to ensure the greatest possible image without disruption. The table bearings are also important, these should be soft and radiolucent. Gentle because it has to distribute the pressure optimally if not the patient may suffer a pressure ulcer that may be borne by the staff.
Comparison: Operating table system and mobile operating table
The operating table system has a number of advantages. Transportation is easier because the unit is generally secured to the floor and thus the legs and column units no longer need to be transported. In addition, the transporter has a light and large soft caster not only to the floor. The entire area of ​​operation is more hygienic because the caster is not attached to the system, as in the mobile operating table. It's hard to clean and more unhygienic as a result. Operating table columns can be rotated 360 Â ° and offer ideal space for team feet. The top of the table, thanks to the use of x-ray-capable materials, almost completely radiolusen. The universal operating table is available both as a stationary, moving and moving unit. A mobile operating table, however, is used as a special table. The top of the table can not be removed or replaced. Operation can, by version, be manual, pedaling, or motorized.
Operating table position
The patient may suffer from pressure ulcers for lying improperly on the operating table or lying on the operating table for too long. Staff nurses and doctors try to prevent this from happening. The common standard positions are, for example, back, belly, side, Trendelenburg and sitting/half-sitting position. Patients should always be positioned or positioned optimally in cooperation with anesthesiologists, surgeons and operating room staff. Before surgery, a decision should be made about how exactly the patient's position. This decision not only takes into account the type of surgery, but also considers the age, weight and health of the patient with respect to the heart, lungs, circulation, metabolism, circulatory problems, etc.
Advantages of operating table system
Unlike mobile operating desks typically used in hospitals with small operations departments, for example, in ambulance operating rooms, modern operating table systems are characterized by their great mobility. They also have special desks designed for various surgical disciplines and, thanks to the ability to change these peaks, they allow the use of a versatile operating room. The operating table system with stationary columns is more stable and more hygienic. Better transport options significantly improve patient flow from the patient transfer unit and operating room. Finally, the operating table system with the stationary column allows the control elements to be integrated into the drawing procedure, for example, angiography, MR and CT.
Literature
- Kramme, RÃÆ'¼diger: Medizintechnik. 3. Edition. Heidelberg 2007, P. 830-831
- Schindler, Herbert: Arbeitsgebiet Operationssaal. Lagerungen, Cleanliness, Gefahren. Stuttgart 1985, P. 26
- Aschemann, Dirk: OP-Lagerungen fÃÆ'¼r Fachpersonal. Heidelberg 2009, Figure P. 53-56
References
Source of the article : Wikipedia
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