Operating table

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Operating table height

Neither the success nor the complication of combined spinal-epidural anesthesia in lateral decubitus position during residents' training is affected by the operating table height. However, paresthesia was more likely to occur on the left side when a stiff catheter was inserted into the epidural space. It may be better to keep the table height at the residents' lowest rib margin. It was not just preferred by most residents but also better for their training in performing epidural anesthesia 1).

a study suggests that the use of a microscope and a table height above the umbilicus are optimal for reducing surgeon musculoskeletal fatigue. 2).

a study suggests that loupe use and a table height midpoint between the umbilicus and sternum are optimal for reducing surgeon musculoskeletal fatigue. 3).

3: Lee ST, Chen JF. Closed reduction vertebroplasty for the treatment of osteoporotic vertebral compression fractures. Technical note. J Neurosurg. 2004 Apr;100(4 Suppl Spine):392-6. doi: 10.3171/spi.2004.100.4.0392. PMID: 15070152.

4: Montgomery DM, Fischgrund JS. Passive reduction of spondylolisthesis on the operating room table: a prospective study. J Spinal Disord. 1994 Apr;7(2):167-72. doi: 10.1097/00002517-199407020-00011. PMID: 8003835.

1)
Gu J, Ni J, Ma Y, Xiong Y, Zhou J. The height of the operating table affects the performance of residents in combined spinal and epidural anesthesia training by affecting the vision of the puncture needle: a randomized controlled trial. BMC Anesthesiol. 2023 Jan 17;23(1):28. doi: 10.1186/s12871-023-01985-6. PMID: 36650434; PMCID: PMC9843990.
2)
Park JY, Kim KH, Kuh SU, Chin DK, Kim KS, Cho YE. Spine surgeon's kinematics during discectomy, part II: operating table height and visualization methods, including microscope. Eur Spine J. 2014 May;23(5):1067-76. doi: 10.1007/s00586-013-3125-6. Epub 2013 Dec 24. PMID: 24366356.
3)
Park JY, Kim KH, Kuh SU, Chin DK, Kim KS, Cho YE. Spine surgeon's kinematics during discectomy according to operating table height and the methods to visualize the surgical field. Eur Spine J. 2012 Dec;21(12):2704-12. doi: 10.1007/s00586-012-2425-6. Epub 2012 Jul 10. PMID: 22772353; PMCID: PMC3508227.