What is proctologic position used for?
Generally, administering large amounts of fluids is done to raise the blood pressure (fluid resuscitation) with an IV. This is done either in the emergency room or the ambulance and is the first-line treatment for shock for all types.
Shock is a life-threatening medical emergency, and you should seek medical treatment for shock immediately. One of the main symptoms is low blood pressure. You may also feel faint or weak, have a weak or rapid pulse, cold and clammy skin, or shallow, rapid breathing.
The supine position is taken to be synonymous with the horizontal recumbent position, where the legs are extended. We can examine the anterior surface of the body using this position.
Sims’ position, named after the gynaecologist J. Marion Sims, is usually used for rectal examination, treatments, enemas, and examining women for vaginal wall prolapse. It is performed by having the person lie on their left side, left hip and lower extremity straight, and right hip and knee bent.
The unilateral leg stand or Trendelenburg test is a useful procedure for detecting hip-joint dysfunction. A positive Trendelenburg sign is identified when the patient is unable to maintain the pelvis horizontal to the floor while standing first on one foot and then on the other foot (Figure 10-95).
Supine position, or dorsal recumbent, is wherein the patient lies flat on the back with head and shoulders slightly elevated using a pillow unless contraindicated (e.g., spinal anesthesia, spinal surgery).
The left lateral (Sims) position, in which the patient lies on his or her left side with the hips and knees flexed and parallel (see the image below), is probably the position most commonly used for rigid sigmoidoscopy.
Jackknife position, also known as Kraske, is similar to Knee-Chest or Kneeling positions and is often used for colorectal surgeries. This position places extreme pressure on the knees. While positioning, surgical staff should place extra padding for the knee area.
Trendelenburg position is typically used for lower abdominal surgeries including colorectal, gynecological, and genitourinary procedures as well as central venous catheter placement.
The purpose of the dorsal recumbent position is to allow for examination of the head, neck, anterior thorax, lungs, breasts, axillae and heart.
Used for proctologic exams (Colorectal surgery is a field in medicine, dealing with disorders of the rectum, anus, and colon.) In medicine, Fowler’s position is a standard patient position.
Conclusions: The medical profession is authorized to use the proctological positioning that allows the most reliable anal diagnoses.