POSICIONAMENTO ROTINA COLUNA TORÁCICA











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Join the Radiologando Group and learn much more about Radiology: •    / @radiologando   *Video sponsored by the reference school in technical education Politec. For more information call (81) 3222-5252* • ------------------------------------------------- -------------------------------------------- • ♦♦ ROUTINE: AP AND PROFILE ♦♦ • ------------------------------------------------- -------------------------------------------- • ♦ AP: • ► Patient Positioning - Inclined and Upright Position • • Place the patient in a supine position (preferred) with arms at the sides and head on the table • or on a thin pillow. If the patient cannot stand the supine position, put him on his feet with the • arms at the sides of the body and weight evenly distributed on both feet. • • Anode effect will create more uniform density across the thoracic spine. Position the patient to • that the most intense aspect of the bundle (cathode side) is over the lumbar thoracic region of the spine. • ► Position of the Party: • • Align the midsagittal plane with the RC and the center of the table and/or the RI. • • Bend knees and hips to reduce chest curvature. • • Make sure there is no rotation of the chest or pelvis. • ► RC: • • RC perpendicular to RI. • • Direct the RC to T7 (8 to 10 cm below the jugular notch or 3 to 5 cm below the sternal angle). • Centering is similar to that used with the AP chest. • • Centralize RI to RC. • ------------------------------------------------- ------------------------------------- • ♦ PROFILE: • ► Patient Positioning - Inclined or Upright Lateral Position • • Place the patient in the lateral inclined position (preferred), with the head on the pillow and knees • flexed. For the upright position, place your arms straight, with weight evenly distributed on the • two feet. • ► Position of the Party: • • Align the posterior half of the chest (between the middle coronal plane and posterior aspect of the chest) with the • RC and with the center of the table and/or with the RI. • • Raise the patient's arms at right angles to the body with elbows bent. • • Support your waist so that your entire spine is parallel to the table. Palpate the spinous processes for • determine alignment (see Note 2). • • Bend your hips and knees, with support between your knees. • • Make sure there is no rotation of the shoulders or pelvis. • ► RC: • • CR perpendicular to the long axis of the thoracic spine (see Note 2). • • Direct the RC with the T7 (8 to 10 cm below the jugular notch or 18 to 21 cm below the vertebra • prominent). • • Centralize the RI with the RC. • ------------------------------------------------- -------------------------------- • Source: Bontrager, 8th Edition. #Radiology

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