TY - JOUR T1 - USe of a saline bag as a shoulder roll during surgery not recommended AU - Pearlman RC Y1 - 2009/10/01 N1 - 10.1001/archsurg.2009.164 JO - Archives of Surgery SP - 892 EP - 892 VL - 144 IS - 10 N2 - A 47-year-old woman had surgery for thyroid goiter and was positioned for surgery by extending the neck using a shoulder roll. The roll consisted of a saline bag wrapped in a blue surgical towel. A foam, doughnut-shaped headrest helped keep the head supported and prevented hyperextension. A Valleylab Electrosurgical Generator (Boulder, Colorado) was used to gain exposure to the thyroid gland. One ground electrode for the electrosurgical unit was placed on the patient's thigh to complete the unit's circuit. The patient return electrode used was recommended by the manufacturer and was applied to hair-free skin. SN - 0004-0010 M3 - doi: 10.1001/archsurg.2009.164 UR - http://dx.doi.org/10.1001/archsurg.2009.164 ER -