Axillary rolls - page 3

by shaomai | 7,826 Views | 25 Comments

Do any of you have access to any evidence-based practice of wrapping an axillary roll in a towel? I was taught not to place any material over a gel roll as for it defeats the purpose. I would appreciate any information. Thank you!... Read More


  1. 0
    Yeah, it's def. one of those annoying situations that we nurses are put in...when we know "what works," and institutions/organizations have to come up with some kind of policy when the issue is addressed. You probably know what's going to work best for the patient, so do what ya gotta do...

    I have noticed that the few different Army hospitals I have worked at all have different positioning gear. If they have a nice gel roll I still go with webril or a pillow case. I like the idea of a stockinette, I will have to use that! I don't mind using an IV bag if I feel comfortable in the situation. Usually I see them used in neck/c-spine cases, and our surgeons like to place them themselves...which I make sure to chart!....after making sure it is indeed safe for the patient.
  2. 0
    When I have used gel ax rolls, they "burst" and the gel got all over the patient and the surgeon (while he was marking). Since then, no more gel rolls.
  3. 0
    I always wrap whatever we use for ax rolls in some type of fabric. The last time I checked, the patients underarm functioned the same way mine does, and when I get warm I sweat. If the patient gets warm due to bair hugger, warm blankets, or other reasons, the moisture could get into gelpads if they have any breaks in them. To me it's an infection control issue, not comfort.
  4. 0
    Have any of you had any experience with a foam, rather than gel, support? Or one that is U-shaped that prevents the patient from falling back or forth?
  5. 0
    We don't even have ax rolls. They roll up egg crate foam in a towel... I think it's strange that a large hospital/trauma center does not have them.
  6. 0
    Quote from periop
    Have any of you had any experience with a foam, rather than gel, support? Or one that is U-shaped that prevents the patient from falling back or forth?
    Some of our surgeons use thick disposable foam rolls. Sometimes wrapped in fabric, sometimes not. They seem to work.


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