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In PSF, the patient was positioned prone on padded chest rolls, rolled blanket bolster, or a Wilson spinal frame to provide adequate cushioning for the chest and abdomen while allowing vacant space preventing abdominal pressure.
This was felt to be due to unusually large chest rolls and an unsupported head, resulting in posterior shoulder displacement and anterior head displacement.
One case of brachial plexopathy due to prone position has previously been reported, and occurred following an operative procedure with longitudinal chest rolls and the arms abducted and elbows flexed [ 6].
There are also arm rolls, elbow stalls, chest rolls and (for some very talented folks indeed) head, neck, back and shoulder rolls.
Similar(56)
He grabbed his chest, rolled off the gasping artist and cried, "I am having a heart attack!" An ambulance was called.
The treatment given is to fit a "nose pedicle" – flesh taken off the man's chest, rolled into a tube and sewn on to the face – and to wait to see if it takes.
But the ball bounced off Soriano's chest, rolled toward Derek Jeter as Jeter prepared for a force at second base, then it skipped off the bag, a freak play.
It is possible that the use of a high chest roll and/or the Clinatron bed resulted in the shoulders being extended posteriorly rather than superiorly, and that this resulted in the neurologic defect.
Extra care must be taken with arm position and motion while patients are prone, and the positioning of the chest roll and the type of surface the patient is placed on must be evaluated in order to ensure that the shoulders are not posteriorly extended.
A great beginner skill is a chest roll and a back bend.
It is useful to have someone with you while you attempt a chest roll, in case of injury.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com