Summary of Best Evidence for Lateral-Prone Surgical Position Management

OBJECTIVE: To evaluate and consolidate evidence related to the management of lateral-prone surgical positioning from national and international sources, aiming to provide an evidence-based foundation for clinical practice. METHODS: Using the "6S" evidence model, a comprehensive search was conducted in Chinese and English databases, guideline websites, and professional society websites. We included all relevant evidence concerning the management of lateral-prone surgical positioning: clinical practice guidelines, systematic reviews, evidence summaries, clinical decisions, expert consensus, and randomized clinical trials. Search records were included from the establishment of each database up to June 30, 2024. Two researchers with expertise in evidence-based nursing independently screened and assessed the quality of the search results. RESULTS: Nine documents, consisting of 7 guidelines and 2 expert consensus documents, were included. In total, 28 pieces of evidence related to the management of lateral-prone surgical positioning were summarized. These address 6 key areas: prepositioning assessment, preparation of appropriate positioning equipment and supplies, teamwork, positioning, postpositioning checks, and intraoperative considerations. CONCLUSION: This study synthesizes the best evidence available related to the management of lateral-prone surgical positioning, thus providing an evidence-based foundation for surgical teams. Health care professionals should apply this evidence selectively, considering clinical contexts and physician preferences.