Lithotomy Position
Pronunciation: lih-THOT-oh-mee
Supine position with hips flexed and legs elevated in stirrups, used for perineal procedures and deliveries.
Full Definition
The lithotomy position involves placing the patient supine with hips and knees flexed and legs supported in stirrups or leg holders. In obstetric anesthesia, this position is commonly used for operative vaginal deliveries, perineal repairs, and certain gynecologic procedures. Anesthetic considerations include risk of compression neuropathies, particularly of the common peroneal nerve, increased venous return when legs are elevated, and potential for hemodynamic changes with position changes. Proper padding and positioning are essential to prevent nerve injury, and the anesthesiologist must monitor for signs of compartment syndrome during prolonged procedures.
Usage
Usage note: Always document padding and positioning precautions to prevent nerve injury claims.
In Context
- "The patient was placed in lithotomy position for operative vaginal delivery under pudendal block." — Operative delivery documentation
- "Lithotomy positioning required careful padding to prevent peroneal nerve injury during lengthy repair." — Post-delivery procedure note