Which part of the body would a resident be lying on if they are in the supine position?

Lying facedown on your stomach is described as being in the prone position. This position is often used to help patients who are experiencing respiratory distress.

Since the coronavirus pandemic began, doctors have been using this position to help patients with severe COVID-19. It can sometimes help patients avoid the need for a ventilator. It’s also been shown to improve survival rates for patients on ventilators.

Prone position is the medical term for lying flat on your stomach. Lying flat on your back is referred to as the supine position.

Prone position is used in medical settings to help patients with certain conditions and symptoms get relief. For example, people in respiratory distress are often carefully placed in prone position by medical staff. Turning someone so that they’re in prone position is called proning.

COVID-19 affects your respiratory system. It causes inflammation and swelling in your throat and lungs.

In mild or moderate cases of COVID-19, the inflammation leads to symptoms such as dry cough and sore throat. In severe cases, the inflammation causes fluid to build up in your lungs. The fluid in your lungs makes it extremely difficult to breathe. This is called acute respiratory distress syndrome (ARDS).

While more research needs to be conducted, doctors have found that the prone position helps patients with severe COVID-19.

Proning allows the back of your lungs to expand fully. It can also help you cough up more of the fluid in your lungs and can improve the way oxygen travels through your body. This can lead to better breathing overall.

Patients who are put in the prone position are carefully monitored. Medical staff will place them in the prone position for a set number of hours before transitioning them back to the supine position for a few hours.

The process might be repeated over the course of several days if the person is breathing better and can tolerate the treatment. In some cases, this has helped people avoid being intubated and placed on ventilators in the ICU.

The prone position has also been successfully used on COVID-19 patients who were using ventilators. Careful use of the prone position has been shown to improve the survival rate for ventilated patients.

Much of the research that has been done isn’t specific to COVID-19, but doctors are able to apply techniques, such as proning, that have been proven to help patients experiencing ARDS caused by other conditions.

The prone position is used for ARDS caused by any condition. Other conditions that might lead to ARDS include:

  • pneumonia
  • pancreatitis
  • sepsis

ARDS can also be caused by serious accidents and injuries such as:

  • breathing in harmful substances
  • drowning
  • severe injuries to your head, chest, or other body parts

Not all patients experiencing ARDS are good candidates for the prone position. People with burns, wounds, fractures, or spinal instability might not be able to tolerate the prone position. Proning is also not recommended for people who’ve had tracheal surgery or are in later stages of pregnancy.

The prone position is used during surgeries that require access to the back of your body. Some common examples include:

  • brain or brainstem surgeries
  • spinal surgeries
  • rectal or buttock surgeries
  • surgical procedures on the back of your arms or legs

Medical staff will assist you in slowly and carefully laying on your stomach if you need to be in the prone position for a surgery. You’ll generally receive anesthesia first and will be hooked up to any needed monitors, IVs, or other medical equipment before being placed in the prone position. There will be supportive cushioning to prevent injury to your face, breasts, and pelvic region.

Proning is the medical term for carefully placing a patient facedown. It’s often used to improve breathing in patients experiencing respiratory distress, including patients with severe cases of COVID-19.

The prone position can sometimes prevent the need for a ventilator. It can also help patients who have been placed on a ventilator and has been shown to improve the odds of survival.

May 21, 2018

Which part of the body would a resident be lying on if they are in the supine position?

The supine position is the most common patient position used in the OR. Typically, the head is rested on a foam pillow, keeping the neck in a neutral position. The patient is placed flat on their back with their head and spine aligned. The head is supported by a patient positioning headrest like the AliGel Head Positioner or Single-Use Head Donuts.

The arms are typically at rest at the patient’s side or on padded arm boards. When arm boards are used for patient positioning, the arms should be extended at less than a 90-degree angle from the body to prevent ulnar and radial nerve compression.1 When arms are positioned at the patient’s side the palm should rest against the patient and the elbows should be padded. Ulnar Nerve Protectors are lightweight and single use for improved infection control. The arms can then be secured with a draw sheet.

Legs are positioned in a straight line with knees slightly at approximately 5 degrees to 10 degrees,2 and not touching. Positioning the knees in slight flexion prevents popliteal vein compression and reduces the patient’s risk for Deep Vein Thrombosis (DVT).3 A soft positioner such as the AliGel Dome Positioner may also be placed under the knees to alleviate strain on the lumbar spine.

The supine position is used in intracranial, abdominal, anterior cervical spine, most extremity procedures as well as many minimally invasive surgeries (MIS). Caution should be taken to ensure that the sheet is not so tight that it interferes with IV lines or the blood pressure (BP) cuff. A small pillow or pad, like the Azure Sacral Pad may be placed under the lumbar area to prevent postoperative back strain, as it provides support to the patient’s physiologic lordotic curvature. The legs should be parallel with ankles uncrossed. The patient’s heels should be elevated off the underlying surface as this in will increase perfusion and help prevent pressure injury. AliMed offers a variety of heel protection in our gel lines, AliGel, AliLite, Freedom and Azure.

Visit Supine Patient Positioning Specialty Page to see more examples of how AliMed can help with proper patient positioning and reduce pressure injury risks.

References

  1. Burlingame B, Davidson J, Denholm B, et al. Guideline for positioning the patient. Guidelines for Perioperative Practice. 2017;1. DOI: 10.6015/psrp.17.01.e1.
  2. Huber D. Preventing deep tissue injury of the foot and ankle in the operating theatre.Wounds UK. 2013; 9(2):34-38.
  3. Huber D, Huber J, DeYoung E. The association between popliteal vein compression and deep venous thrombosis: results of a pilot study. Phlebology. 2013; 28(6):305–307.

Which part of the body would a resident be lying on if they are in the supine position?

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AliMed, Inc. is a manufacturer and distributor of medical supply products, and is not a medical authority. The contents contained in this article, including text, graphics, imagery, and other materials, are for informational and educational purposes only. AliMed does not provide or intend to provide medical advice, diagnosis, or treatment, and the information contained here should not be treated as such. If you have questions about a specific medical condition or specific personal use of a medical device, always consult your physician or other qualified healthcare provider.

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In what position is a patient lying on the back supine?

In supine position, the patient is face up with their head resting on a pad positioner or pillow and their neck in a neutral position. The patient's arms, maintained in a neutral thumb-up or supinated position, may be tucked at their sides or abducted to less than 90 degrees on armboards.

Why would you put a patient in supine position?

The supine position provides excellent surgical access for intracranial procedures, most otorhinolaryngology procedures, and surgery on the anterior cervical spine. The supine position also is used during cardiac and abdominal surgery, as well as procedures on the lower extremity including hip, knee, ankle, and foot.

In which direction does a patient while in the supine position?

The supine position (/səˈpaɪn/ or /ˈsuːpaɪn/) means lying horizontally with the face and torso facing up, as opposed to the prone position, which is face down. When used in surgical procedures, it grants access to the peritoneal, thoracic and pericardial regions; as well as the head, neck and extremities.

What is the position of a patient lying down?

Regarding body positioning, prone generally means lying face down, supine means lying face up, and prostrate means stretched out lying flat, often submissively.