Left lateral decubitus position
The gold standard for identifying precancerous lesions in the colon is still colonoscopy. To see and remove such lesions, adequate visualization of the bowel wall is needed. Luminal distention improves vision, and several experiments have been conducted to determine how to maximize luminal distention. The researchers believe that positioning in the Right Lateral Decubitus rather than the Left Lateral Decubitus may be a low-cost way to increase luminal distention and, as a result, improve colonoscopy visualization. Since the sigmoid colon and cecum are not set in the Right Lateral Decubitus position, air used during colonoscopy can rise in a dependent manner, increasing luminal distention. The bowel collapses in the left lateral decubitus position, making it difficult to move and envision. The researchers want to compare the two positions to see if it has an effect on colonoscopy outcomes. In particular, rates of cecal intubation and adenoma detection.
Patient positioning 9 – lateral decubitus position
We wanted to see whether patients with congestive heart failure (CHF) avoid sleeping in the left lateral decubitus (LLD) position, and if so, if this avoidance was more pronounced in those with more cardiomegaly.
According to anecdotal evidence, the LLD location is associated with pain in patients with CHF due to an enlarged apical heart rhythm and a higher degree of dyspnea (trepopnea) than other roles. It’s also been proposed that being in the LLD role causes increased sympathetic nervous activity.
A total of 75 CHF patients and 75 control subjects were subjected to nocturnal polysomnography with body position monitoring. Both patients with CHF had an echocardiogram to assess the left ventricular end-diastolic diameter (LVEDD). A total of 40 patients had their pulmonary capillary wedge pressure (PCWP) and cardiac output (CO) measured during cardiac catheterization.
In comparison to the right lateral decubitus position, patients with CHF spent substantially less time in the LLD position. There was no such difference among the control subjects. Patients with a larger LVEDD, higher PCWP, and lower CO spent less time in the LLD role than those with a smaller LVEDD, higher PCWP, and lower CO.
How to turn patient to left lateral position
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Nanosensors, Biosensors, Info-Tech Sensors, and 3D Systems, Volume 10167, 2017; 1016705 (2017) https://doi.org/10.1117/12.2260646
SPIE Smart Structures and Materials + Nondestructive Evaluation and Health Monitoring (SPIE Smart Structures and Materials + Nondestructive Evaluation and Health Monitoring), 2017 Portland, Oregon is a city in the state of Oregon in the United States.
Congestive heart failure (CHF) is a form of cardiovascular disease that affects approximately 5.7 million Americans. Atrial Fibrillation is the most common comorbidity of CHF (AF). These two diseases exacerbate each other, with CHF patients being more likely to develop AF and AF patients being more likely to develop CHF. For several years, researchers have been studying the underlying pathophysiological processes, with the most recent efforts focusing on the cellular and molecular basis. In this paper, we look at how a patient’s posture affects the manifestation of CHF and AF symptoms. We take into account three different positions: left lateral decubitus, right lateral decubitus, and supine. We examine the clinical data so far relating increased sympathetic activity to the left lateral decubitus and supine positions, as well as the evidence relating increased vagal activity to the right lateral decubitus posture. We end with a summary of all the hypotheses on how the right lateral decubitus posture relieves CHF and AF symptoms, as well as future research directions.
Lateral positioning in surgery
In medicine, lying (also known as recumbency or prostration) or decubitus (from the Latin verb decumbere ‘to lie down’) is a type of human posture in which the body is more or less horizontal and supported along its length by the surface underneath. When immobilized (e.g., in bedrest), resting, or struck by injury or illness, the most common position is lying down.
When medical professionals use the term decubitus to describe a patient’s location, they first state which part of the body the patient is resting on, followed by the word decubitus. The right lateral decubitus position (RLDP), for example, refers to a patient lying on his or her right side. The patient is lying on his or her left side in the left lateral decubitus position (LLDP).
Bedrest is a medical procedure that involves staying in bed all day and night to treat an illness or medical condition, particularly when it is recommended or chosen rather than resulting from extreme prostration or imminent death. Despite the fact that most hospital patients spend the majority of their time in hospital beds, bedrest usually refers to a prolonged period of recumbency at home.