![]() Place the head of the bed lower than the feet. This position is used for patients with breathing difficulties. ![]() Patient sits at the side of the bed with head resting on an over-bed table on top of several pillows. ![]() This position is used for patients who have cardiac or respiratory conditions, and for patients with a nasogastric tube. Patient’s head of bed is placed at a 30-degree angle. This is a common position to provide patient comfort and care. Patient’s head of bed is placed at a 45-degree angle. Arms should be comfortably placed beside the patient, not underneath. Patient lies between supine and prone with legs flexed in front of the patient. This position helps relieve pressure on the coccyx. Patient lies on the side of the body with the top leg over the bottom leg. Patient lies on stomach with head turned to the side. Additional supportive devices may be added for comfort. Table 3.6 lists patient positions in bed. There are various positions possible for patients in bed, which may be determined by their condition, preference, or treatment related to an illness. Positioning a patient in bed is a common procedure in the hospital. When positioning a patient in bed, supportive devices such as pillows, rolls, and blankets, along with repositioning, can aid in providing comfort and safety (Perry et al., 2014). Proper positioning is also vital for providing comfort for patients who are bedridden or have decreased mobility related to a medical condition or treatment. Positioning a patient in bed is important for maintaining alignment and for preventing bed sores (pressure ulcers), foot drop, and contractures (Perry et al., 2014). Safe Patient Handling, Positioning, and Transfers Registered on 1st September 2019.Chapter 3. Trial registration: Chinese Clinical Trial Registry, ChiCTR1900025566. Conclusion: Tracheal extubation in the semi‐Fowler's position is associated with less coughing, sputum suction, and pain, and more comfort, without specific adverse effects when compared to the conventional supine position. The incidences of vomiting, emergence agitation, and respiratory complications were of no significant difference. 18, P < 0.001), and improved the comfort scores 5 min after extubation (6.11 ± 2.30 vs. 21, P = 0.008) and bucking after extubation (3 vs. Results: In comparison with the supine position, the semi‐Fowler's position significantly decreased the wound pain scores at all intervals after extubation (3.51 ± 2.50 vs. Vital signs, coughing, and pain and comfort scores before and/or after extubation were recorded until the patients left the PACU. The endotracheal tube was removed after the patients opened their eyes and regained consciousness. Patients were then randomly put into the semi‐Fowler's (n = 70) or supine (n = 71) position while 100% oxygen was administered. After surgery, all patients were transferred to the post‐anesthesia care unit (PACU). All patients were anesthetized with propofol, fentanyl, cisatracurium, and sevoflurane. ![]() Methods: We enrolled 141 patients with an American Society of Anesthesiologists grade of I‐III who underwent abdominal surgery. We aimed to evaluate the safety and comfort of different extubation positions in patients undergoing abdominal surgery. The semi‐Fowler's position may reduce abdominal wall tension, but its safety and comfort in tracheal extubation have not been reported. However, in patients undergoing abdominal surgery, the supine position increases abdominal wall tension, especially during coughing and deep breathing, which may aggravate pain and lead to abdominal wound dehiscence. Background: Tracheal extubation is commonly performed in the supine position. ![]()
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