Abstract:

Objective

To investigate the effectiveness of an improved beach chair position in shoulder joint surgeries.

Methods

Thirty-four patients undergoing grade III and IV shoulder surgeries in the Department of Anesthesia and Surgery of the First Affiliated Hospital of Guangzhou Medical University from January 2023 to June 2024 and placed in the beach chair position were selected as the research objects.Paired sample t test or Wilcoxon signed-rank test was employed for the comparison of the observation indicators before and after the position placement.

Results

All 34 patients successfully completed their surgeries without complications. There was no significant difference in hemoglobin level, oxygen saturation, or incidence of acquired pressure injuries before and after surgery. During surgery, the blood loss was 20(9, 23) ml, and the urine volume was 250(0, 825) ml, fluid intake was (1 265±699) ml, and the surgical duration was (105±69)min. No patient encountered position compression, nerve injury, or lower limb venous thrombosis. Among the patients, 13 underwent invasive arterial blood pressure monitoring during surgery.

Conclusion

The improved“beach chair” position effectively ensures optimal exposure of the surgical field with stable physiological parameters while minimizing the risks of hypotension, nerve and pressure injuries, without postoperative complications, which providing a useful reference for nursing protocols in similar surgeries.

Key words: Posture, Shoulder jJoint, Operating room nursing