Non-Slip Pad

Surgeries Requiring Trendelenburg Positioning

Audience

• Surgeons performing surgeries requiring trendelenburg

• Materials manager
Non-Slip Pads
Main objective of this Presentation

• The main objective of this presentation is to assure patient safety

while being placed in steep Trendelenburg position during surgery.
• Currently we use a multi-use yellow gel pad for all patients being
placed in this position to assist in keeping them from sliding while
in this position for the duration of the surgery.
• Patient’s have voiced their dislike of being placed on a pad that
has been used by other patients
• There is concern by staff members of the potential of cross
contamination between patients.
Non-Slip Pads

Currently Used Proposed Pad

NON-DISPOSABLE DISPOSABLE
Currently Being Used

Details
 $300 per pad
 Typically can get 75 uses per pad
 Does not come with arm protectors
 Pink hand protectors cost $20
 Hand Protectors are disposed of each
case
 Must have back up on hand if pad
becomes torn it must be disposed of
immediately
Proposed Disposable Non-slip Pad

Details
 Cost $90
 One time use
 Comes with everything needed to
position patient safely
Three Alternatives to Current Pad
No Pad Disposable Non-Slip Current Gel Pad with
Shoulder Straps Pad Barrier at Perineum
Alternative Option 1
No Pad
Shoulder Straps
Pros
• This option requires a much smaller amount of cushion material
• It cost only $42 a patient
• It is disposable
Cons
• It has the highest results of potential brachial nerve injury
• Small amounts of sliding have been documented
Alternative Option 2
Disposable Non-Slip pad

Pros
• Disposable
• Comes with everything you need to position patient

Cons
• More expensive then current pad
• It is not recyclable so increase trash load each case
Alternative Option 3
Continued use of Gel Pad but Add Absorbable Pad
Under Perineum
Pros
• The cheapest ($4 per patient) if pad survives all 75 uses before needing
to be disposed of for tears
• This option requires the least amount of work for staff
• Quickest to set up and clean between cases
• Absorbable pad can be sent with linens to be cleaned
Cons
• It is being used on multiply patients
• Staff needs to examine pad after each use checking for tears
Conclusion

It may cost more to have a disposable non-slip pad per case but this
would greatly increase patient satisfaction and would eliminate any
opportunities of cross contamination between patients
References

• Hortman, C., & Chung, S. (2015). Positioning Considerations in Robotic

Surgery. AORN. Retrieved from
https://www.aorn.org/websitedata/cearticle/pdf_file/CEA15539-
0001.pdf
• Kilic, S., Ertan, K., & Kose, M. (2014). Patient Positioning, Trocar
Placement, and Docking for Robotic Gynecologic Procedures . In Robotic
Surgery: Practical Examples in Gynecology (pp. 37-48). Retrieved from
https://books.google.com/books?hl=en&lr=&id=QdLmBQAAQBAJ&oi=fnd
&pg=PA37&dq=lithotomy+trendelenburg+positioning+surgery+with+tape&
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ndelenburg%20positioning%20surgery%20with%20tape&f=false