Generally Head down or tipping positions should be avoided in Pneumonectomy. The ideal position for care after surgery is half lying or crook half lying.
Definition for further clarification:
A pneumonectomy (or pneumectomy) is an surgical procedure to remove a lung. Removal of one lobe of the lung is referred to as a lobectomy, and that of a segment of the lung as a segmentectomy. The term pneumonectomy may also be used in a more general sense to encompass removal of all or part of a lung.
Last edited by physiobob; 26-03-2007 at 05:17 PM.
Aussie trained Physiotherapist living and working in London, UK.
Chartered Physiotherapist & Member of the CSP
Member of Physio First (Chartered Physio's in Private Practice)
Member Australian Physiotherapy Association
Founder Physiobase.com 1996 | PhysioBob.com | This Forum | The PhysioLive Network | Physiosure |
My goal has always to be to get the global physiotherapy community talking & exchanging ideas on an open platform
Importantly to help clients to be empowered and seek a proactive & preventative approach to health
To actively seek to develop a sustainable alternative to the evils of Private Medical Care / Insurance
Follow Me on Twitter
In patients with pneumonectomy,sidelying on non-operated side is contraindicated till the drainage tube is removed +the tissues around is fibrosed and cannot compress or alter physiology if made to lie on affected side.
Let me add further that Pneumonectomy patients should not be positioned on their unoperated side. This can result in bronchopleural fistula due to space fluid washing over the bronchial stump. Patients undergoing intrapericardial pneumonectomy should be treated in sitting for the first 4 days unless advised otherwise by the medical team.
Position the patient in a semi Fowler's Position (head of bed elevated to 30 degrees and hips and knees slightly flexed). This position reduces traction on the thoracic incision.
There are currently 1 users browsing this thread. (0 members and 1 guests)