People routinely undergo surgery for treatment of a variety of medical conditions. In many cases, the patients are placed under general anesthesia for the surgical procedure. While under general anesthesia, the patient is unconscious and cannot respond or react to external stimuli or conditions. In some surgical procedures, there is a potential for these external conditions to cause trauma to the patient. For example, during certain orthopaedic surgical procedures, the surgeon must exert considerable pressure on various parts of the body, e.g., to the arms, legs, shoulder, and torso. In addition, the surgeon uses a variety of instruments during the procedure. The pressure on the body and use of surgical instruments create the potential for unintentional trauma to the patient, particularly to the head, face, ears, eyes, and neck area. The patient may receive pressure marks or sores from direct contact with surgical instruments and body positioning techniques. Any pressure applied to the ocular structures, even a short time, can cause damage or blindness to the eye. The body is typically covered at most by a blanket or cloth, which provides minimal protection.
Another challenge is the task of rolling the patient over from a supine position to a prone position on the operating table or from a cart onto the operating table. Depending on the procedure, the patient may be intubated, which creates a risk of neck injury during the roll-over process. After the procedure, the patient must again be rolled off the operating table onto a gurney. Still anesthetized, the risk of neck injury is again present if the head is not properly supported and manipulated during patient movement.
If an emergency develops while the patient is in the prone position, requiring the patient to be rolled to the supine position, valuable time can be lost trying to properly support the patient without injury to the neck, and without crimping the airway supply tubing and monitoring equipment communicating through the nose and mouth of the patient.
One approach found in U.S. Pat. No. 6,490,737 involves a molded helmet, which partially covers the patient's face and head. The helmet is particularly designed for procedures with the patient in the prone position and, in fact, the helmet can be rigidly mounted to the operating table, as shown in FIG. 8 of U.S. Pat. No. 6,490,737. However, in the prone position, the forehead and chin areas are exposed to continuous pressure by the weight of the patient's own head. If not relieved by regular movement of the face to allow blood flow, the pressure can cause localized ischemia to the chin and forehead area. In addition, the helmet leaves the eyes, cheeks, nose, and back of the head exposed and vulnerable to objects smaller than the openings in the helmet. The helmet is molded to a rigid form factor so the head is likely to shift in position relative to the helmet.
In the anesthetized state, the patient is unable to respond or react to any of these conditions. The surgeon, anesthesiologist, and surgical staff must be constantly aware of patient safety to avoid unnecessary trauma.
The operating room is typically maintained at a low temperature, in part for the comfort and alertness of the surgical team. The patient may experience body heat loss in the low temperature environment. The torso and upper and lower extremities are typically covered by a blanket for warmth. However, a significant amount of heat can be lost passively through the head and neck. A surgical cap can reduce some heat loss, but typically does not cover the face and certainly does not remove the potential for injury.