{"id":96533,"date":"2023-02-21T08:55:57","date_gmt":"2023-02-21T14:55:57","guid":{"rendered":"https:\/\/www.unmc.edu\/newsroom\/?p=96533"},"modified":"2023-02-21T16:20:08","modified_gmt":"2023-02-21T22:20:08","slug":"arm-tucking-aids","status":"publish","type":"post","link":"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/","title":{"rendered":"Arm “Tucking” Aids"},"content":{"rendered":"
\n

Situation:  <\/strong>Positioning a patient\u2019s arms safely and securely can be challenging.<\/p>\n\n\n\n

Background:  <\/strong>All patients are vulnerable to injury. For many procedures, the surgeon’s preference is for \u201ctucking\u201d a patient\u2019s arms.  The width of OR surgical beds\/tables is 20 inches.  By comparison, seat widths at Memorial Stadium at the University of Nebraska Lincoln range from 18 to 22 inches.<\/p>\n\n\n\n

Assessment:  <\/strong>There are several aids for tucking arms, including additional foam padding, a \u201cdraw sheet\u201d to wrap arms, and adding devices to the OR table.<\/p>\n\n\n\n

Recommendations: <\/strong>These are not all-inclusive. <\/p>\n\n\n\n

    \n
  1. Discuss positioning and any concerns with the surgeon and OR team.<\/li>\n\n\n\n
  2. Determine the best positioning for each patient and procedure. <\/li>\n\n\n\n
  3. When possible, the position during surgery should be one that would be comfortable with the patient fully awake. <\/li>\n\n\n\n
  4. Add an extender for additional bed width if necessary. Do not use an arm board for this purpose. <\/li>\n\n\n\n
  5. Arm sleds are another option for side arm support.<\/li>\n\n\n\n
  6. Be careful with a draw sheet or towel tucking.<\/li>\n\n\n\n
  7. Ensure all pressure points are padded, checked, and re-checked.<\/li>\n\n\n\n
  8. Constant surveillance.<\/li>\n<\/ol>\n\n\n\n

    <\/p>\n\n\n\n

    \"\"<\/figure>\n\n\n\n

    Fig. 1. Use of a draw sheet to secure an arm to a patient\u2019s side.
    (A) This graphic depicts the looped draw sheet tightly wrapped around the wrist, acting as a tourniquet by reducing venous outflow and, potentially, arterial inflow. <\/p>\n\n\n\n

    (B) This graphic shows the draw sheet loosely looped over the entire dorsum of the hand. This use of a draw sheet may decrease the risk of perioperative compartment syndrome of the hand.
    (Anesthesiology 2004; 101:1232\u2013 4)Ar<\/p>\n\n\n\n

    <\/p>\n\n\n\n

    \"\"
    Bed extenders<\/figcaption><\/figure>\n\n\n\n
    \"\"
    Arm sleds<\/figcaption><\/figure>\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"

    Situation:  Positioning a patient\u2019s arms safely and securely can be challenging. Background:  All patients are vulnerable to injury. For many procedures, the surgeon’s preference is for \u201ctucking\u201d a patient\u2019s arms.  The width of OR surgical beds\/tables is 20 inches.  By comparison, seat widths at Memorial Stadium at the University of Nebraska Lincoln range from 18 […]<\/p>\n","protected":false},"author":136,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"92781,45236,44295,54923,70882,30159","_relevanssi_noindex_reason":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-96533","post","type-post","status-publish","format-standard","hentry","category-uncategorized","author_override-jean-a-simonson-md"],"yoast_head":"\nArm "Tucking" Aids<\/title>\n<meta name=\"description\" content=\"Situation:  Positioning a patient\u2019s arms safely and securely can be challenging. Background:  All patients are vulnerable to injury. For many\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Arm "Tucking" Aids\" \/>\n<meta property=\"og:description\" content=\"Situation:  Positioning a patient\u2019s arms safely and securely can be challenging. Background:  All patients are vulnerable to injury. For many\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/\" \/>\n<meta property=\"og:site_name\" content=\"Newsroom\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/unmcedu\" \/>\n<meta property=\"article:published_time\" content=\"2023-02-21T14:55:57+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-02-21T22:20:08+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.unmc.edu\/newsroom\/wp-content\/uploads\/2023\/02\/Picture1_arm-tucking.png\" \/>\n<meta name=\"author\" content=\"Sarah Hankin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@unmc\" \/>\n<meta name=\"twitter:site\" content=\"@unmc\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sarah Hankin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/\"},\"author\":{\"name\":\"Sarah Hankin\",\"@id\":\"https:\/\/www.unmc.edu\/newsroom\/#\/schema\/person\/8ad95d50430bf77f19802139f3f09371\"},\"headline\":\"Arm “Tucking” Aids\",\"datePublished\":\"2023-02-21T14:55:57+00:00\",\"dateModified\":\"2023-02-21T22:20:08+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/\"},\"wordCount\":265,\"publisher\":{\"@id\":\"https:\/\/www.unmc.edu\/newsroom\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.unmc.edu\/newsroom\/wp-content\/uploads\/2023\/02\/Picture1_arm-tucking.png\",\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/\",\"url\":\"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/\",\"name\":\"Arm \\\"Tucking\\\" Aids\",\"isPartOf\":{\"@id\":\"https:\/\/www.unmc.edu\/newsroom\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.unmc.edu\/newsroom\/wp-content\/uploads\/2023\/02\/Picture1_arm-tucking.png\",\"datePublished\":\"2023-02-21T14:55:57+00:00\",\"dateModified\":\"2023-02-21T22:20:08+00:00\",\"description\":\"Situation:  Positioning a patient\u2019s arms safely and securely can be challenging. Background:  All patients are vulnerable to injury. For many\",\"breadcrumb\":{\"@id\":\"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/#primaryimage\",\"url\":\"https:\/\/www.unmc.edu\/newsroom\/wp-content\/uploads\/2023\/02\/Picture1_arm-tucking.png\",\"contentUrl\":\"https:\/\/www.unmc.edu\/newsroom\/wp-content\/uploads\/2023\/02\/Picture1_arm-tucking.png\",\"width\":152,\"height\":199},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.unmc.edu\/newsroom\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Arm “Tucking” Aids\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.unmc.edu\/newsroom\/#website\",\"url\":\"https:\/\/www.unmc.edu\/newsroom\/\",\"name\":\"Newsroom\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/www.unmc.edu\/newsroom\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.unmc.edu\/newsroom\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.unmc.edu\/newsroom\/#organization\",\"name\":\"University of Nebraska Medical Center\",\"url\":\"https:\/\/www.unmc.edu\/newsroom\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.unmc.edu\/newsroom\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.unmc.edu\/newsroom\/wp-content\/uploads\/2022\/08\/overview-1.png\",\"contentUrl\":\"https:\/\/www.unmc.edu\/newsroom\/wp-content\/uploads\/2022\/08\/overview-1.png\",\"width\":500,\"height\":153,\"caption\":\"University of Nebraska Medical Center\"},\"image\":{\"@id\":\"https:\/\/www.unmc.edu\/newsroom\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/unmcedu\",\"https:\/\/x.com\/unmc\",\"https:\/\/instagram.com\/iamunmc\",\"https:\/\/www.youtube.com\/user\/UNMCEDU\"]},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.unmc.edu\/newsroom\/#\/schema\/person\/8ad95d50430bf77f19802139f3f09371\",\"name\":\"Sarah Hankin\",\"url\":\"https:\/\/www.unmc.edu\/newsroom\/author\/42a0e188f5033bc65bf8d78622277c4e\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Arm \"Tucking\" Aids","description":"Situation:  Positioning a patient\u2019s arms safely and securely can be challenging. Background:  All patients are vulnerable to injury. For many","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/","og_locale":"en_US","og_type":"article","og_title":"Arm \"Tucking\" Aids","og_description":"Situation:  Positioning a patient\u2019s arms safely and securely can be challenging. Background:  All patients are vulnerable to injury. For many","og_url":"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/","og_site_name":"Newsroom","article_publisher":"https:\/\/www.facebook.com\/unmcedu","article_published_time":"2023-02-21T14:55:57+00:00","article_modified_time":"2023-02-21T22:20:08+00:00","og_image":[{"url":"https:\/\/www.unmc.edu\/newsroom\/wp-content\/uploads\/2023\/02\/Picture1_arm-tucking.png","type":"","width":"","height":""}],"author":"Sarah Hankin","twitter_card":"summary_large_image","twitter_creator":"@unmc","twitter_site":"@unmc","twitter_misc":{"Written by":"Sarah Hankin","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/#article","isPartOf":{"@id":"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/"},"author":{"name":"Sarah Hankin","@id":"https:\/\/www.unmc.edu\/newsroom\/#\/schema\/person\/8ad95d50430bf77f19802139f3f09371"},"headline":"Arm “Tucking” Aids","datePublished":"2023-02-21T14:55:57+00:00","dateModified":"2023-02-21T22:20:08+00:00","mainEntityOfPage":{"@id":"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/"},"wordCount":265,"publisher":{"@id":"https:\/\/www.unmc.edu\/newsroom\/#organization"},"image":{"@id":"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/#primaryimage"},"thumbnailUrl":"https:\/\/www.unmc.edu\/newsroom\/wp-content\/uploads\/2023\/02\/Picture1_arm-tucking.png","inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/","url":"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/","name":"Arm \"Tucking\" Aids","isPartOf":{"@id":"https:\/\/www.unmc.edu\/newsroom\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/#primaryimage"},"image":{"@id":"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/#primaryimage"},"thumbnailUrl":"https:\/\/www.unmc.edu\/newsroom\/wp-content\/uploads\/2023\/02\/Picture1_arm-tucking.png","datePublished":"2023-02-21T14:55:57+00:00","dateModified":"2023-02-21T22:20:08+00:00","description":"Situation:  Positioning a patient\u2019s arms safely and securely can be challenging. Background:  All patients are vulnerable to injury. For many","breadcrumb":{"@id":"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/#primaryimage","url":"https:\/\/www.unmc.edu\/newsroom\/wp-content\/uploads\/2023\/02\/Picture1_arm-tucking.png","contentUrl":"https:\/\/www.unmc.edu\/newsroom\/wp-content\/uploads\/2023\/02\/Picture1_arm-tucking.png","width":152,"height":199},{"@type":"BreadcrumbList","@id":"https:\/\/www.unmc.edu\/newsroom\/2023\/02\/21\/arm-tucking-aids\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.unmc.edu\/newsroom\/"},{"@type":"ListItem","position":2,"name":"Arm “Tucking” Aids"}]},{"@type":"WebSite","@id":"https:\/\/www.unmc.edu\/newsroom\/#website","url":"https:\/\/www.unmc.edu\/newsroom\/","name":"Newsroom","description":"","publisher":{"@id":"https:\/\/www.unmc.edu\/newsroom\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.unmc.edu\/newsroom\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.unmc.edu\/newsroom\/#organization","name":"University of Nebraska Medical Center","url":"https:\/\/www.unmc.edu\/newsroom\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.unmc.edu\/newsroom\/#\/schema\/logo\/image\/","url":"https:\/\/www.unmc.edu\/newsroom\/wp-content\/uploads\/2022\/08\/overview-1.png","contentUrl":"https:\/\/www.unmc.edu\/newsroom\/wp-content\/uploads\/2022\/08\/overview-1.png","width":500,"height":153,"caption":"University of Nebraska Medical Center"},"image":{"@id":"https:\/\/www.unmc.edu\/newsroom\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/unmcedu","https:\/\/x.com\/unmc","https:\/\/instagram.com\/iamunmc","https:\/\/www.youtube.com\/user\/UNMCEDU"]},{"@type":"Person","@id":"https:\/\/www.unmc.edu\/newsroom\/#\/schema\/person\/8ad95d50430bf77f19802139f3f09371","name":"Sarah Hankin","url":"https:\/\/www.unmc.edu\/newsroom\/author\/42a0e188f5033bc65bf8d78622277c4e\/"}]}},"_links":{"self":[{"href":"https:\/\/www.unmc.edu\/newsroom\/wp-json\/wp\/v2\/posts\/96533","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.unmc.edu\/newsroom\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.unmc.edu\/newsroom\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.unmc.edu\/newsroom\/wp-json\/wp\/v2\/users\/136"}],"replies":[{"embeddable":true,"href":"https:\/\/www.unmc.edu\/newsroom\/wp-json\/wp\/v2\/comments?post=96533"}],"version-history":[{"count":2,"href":"https:\/\/www.unmc.edu\/newsroom\/wp-json\/wp\/v2\/posts\/96533\/revisions"}],"predecessor-version":[{"id":96583,"href":"https:\/\/www.unmc.edu\/newsroom\/wp-json\/wp\/v2\/posts\/96533\/revisions\/96583"}],"wp:attachment":[{"href":"https:\/\/www.unmc.edu\/newsroom\/wp-json\/wp\/v2\/media?parent=96533"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.unmc.edu\/newsroom\/wp-json\/wp\/v2\/categories?post=96533"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.unmc.edu\/newsroom\/wp-json\/wp\/v2\/tags?post=96533"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}