Mobile technologies are increasingly utilized by today’s healthcare providers both in their personal and professional lives. In modern healthcare, mobile technologies have numerous applications that may revolutionize how doctors practice medicine. We report the use of a commercially available personal consumer electronics device (Apple’s IPhone 4th generation (Cupertino, CA)) which aided in the positioning and monitoring of a patient undergoing spine surgery in the prone position. Introduction According to a recent study from Manhattan Research, a health care market research firm, 64 percent of physicians own a smartphone [1]. In addition, 30 percent have an iPad and another 28 percent intend to buy one within six months [2]. Smartphones and other personal mobile technologies are increasingly being utilized by healthcare practitioners at work. According to the same study, one third of physicians use their smartphones to input patient data to an electronic medical record [1]. With a large library of apps available on a wide range of smartphones and tablets, the integration of mobile technology in patient care is likely to increase in coming years. The use of mobile technology has the opportunity to improve patient care in many ways in the future.Ophthalmic complications including postoperative visual loss are well recognized in patients undergoing surgery in the prone position [3]. Though some ophthalmic complications are preventable by precautions such as proper positioning, the mechanism of injury is not well understood in all cases [4,5]. One well understood mechanism of ophthalmic injury during surgery in the prone position occurs when direct external pressure by a headrest or other support on the eye causes an increase in intraocular pressure [6]. This increased intraocular pressure can lead to retinal ischemia and visual loss [6]. It is essential, therefore, to avoid external pressure on the eye by careful positioning during prone cases and to maintain vigilance through periodic checks of the eyes as well as the face as a whole throughout these cases.We report the use of a commercially available personal consumer electronics device in the positioning of a patient for spine surgery in the prone position. The use of this device may have potentially prevented positioning injury to the patient’s face. Case Presentation A 66-year-old gentleman (height 168 cm, weight 77 kg) with multiple metastatic spinal tumors and spinal cord compression presented for tumor resection including posterior laminectomy, foraminectomy, and decompression of the spinal cord at the T8, T9, and T10 levels as well as pedicle screw fixation extending from T3 to T6 as well as L1 and L2. The patient’s past medical history was significant for hypertension, hyperlipidemia, and glaucoma.General endotracheal anesthesia was induced on transport bed and the patient was subsequently turned to the prone position on an OSI Jackson table using neuro spine positioners. An OSI Gentletouch adult Shea headrest was used to position the patient’s head. The left and right arms were flexed and placed on side arm boards and the legs were flexed and padded as per usual routine.Pressure points including the patient’s face were checked by direct visual inspection. In addition, a photograph was taken of the patient’s face in the headrest using a mobile smartphone’s front facing camera. The image (Image 1) was then examined in detail to assess patient positioning. The image revealed proper positioning of the head with the eyes and face free from external pressure. The device was used for checks of the patient’s face approximately every 30 minutes. It was noted that after two hours in the prone position the patient’s face had progressively migrated from its initial position (Image 2). At an additional check thirty minutes later, the patient’s nose was noted to be in contact with the headrest support (Image 3). The patient’s head was repositioned with additional towel bolsters. Th
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机译：今天的医疗保健提供者越来越多地利用移动技术，他们都在个人和专业的生活中。在现代医疗保健中，移动技术有许多应用可能彻底改变医生练习医学的方式。我们报告使用市售的个人消费电子设备（Apple的iPhone第4代（Cupertino，CA）），其辅助在俯卧位进行患者的患者的定位和监测。介绍曼哈顿研究最近的一项研究，一个医疗保健市场研究公司，64％的医生拥有智能手机[1]。此外，30％有iPad，另外28％的意图在六个月内购买一个[2]。医疗保健从业者在工作中越来越多地利用智能手机和其他个人移动技术。根据同一研究，三分之一的医生使用他们的智能手机将患者数据输入电子医疗记录[1]。在广泛的智能手机和平板电脑上提供大型应用程序，移动技术在患者护理中的整合可能会在未来几年增加。未来，使用移动技术的使用有机会改善患者护理。在俯卧位接受手术的患者中，包括术后视力损失的咽喉并发症[3]。虽然通过诸如适当定位的预防措施可以预防一些眼科并发症，但在所有情况下，损伤机制尚不清楚[4,5]。当通过头枕或眼睛上的其他载体直接外部压力导致眼内压力增加[6]时，在手术期间在手术期间易于理解的眼科损伤机制发生。这种增加的眼内压会导致视网膜缺血和视觉损失[6]。因此，必须通过在易于造型的情况下仔细定位并通过在整个这些情况下通过周期性检查保持警惕的情况来避免眼睛的外部压力。我们报告使用市售个人的使用消费电子设备在患者在俯卧位定位脊柱手术。使用该装置可能会潜在地防止对患者面部的伤害。案例介绍一个66岁的绅士（高168厘米，重量77千克），具有多种转移性脊柱肿瘤和脊髓压缩，用于肿瘤切除术，包括后椎板切除术，椎骨切除切除术和T8，T9和脊髓的减压和减压T10水平以及从T3到T6以及L1和L2延伸的椎弓根螺钉固定。患者过去的病史对于高血压，高脂血症和青光眼具有重要意义。随后使用神经脊柱定位器随后诱导患者在运输床上诱导患者在OSI杰克逊表上的俯卧位。 osi gentletouch成年乳头头枕用于定位患者的头部。左右臂弯曲并放置在侧臂板上，腿部弯曲并根据常用的常规填充。通过直接目视检查检查包括患者脸的压痕点。此外，使用移动智能手机的前面的相机，在头枕中拍摄了一张照片。然后详细检查图像（图1）以评估患者定位。图像显示头部与眼睛的适当定位，并且没有外部压力。该装置用于大约每30分钟检查患者脸部的检查。注意到，在俯卧位在两个小时后，患者的脸逐渐从其初始位置迁移（图2）。在三十分钟后额外检查，患者的鼻子被注意到与头枕支撑件接触（图3）。患者的头部重新定位了额外的毛巾垫。 TH.
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