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operation proceeds without anything special happening, there is no need to make any records about the unchanged position of the patient (according to the Federal Supreme Court in its judgement pronounced on 24.1.1984 - VI ZR 203/82 - ArztRecht 1984, 238).

The routine measures which do not require documentation also include actually controlling the correct position of the arm before and during the operation (adjusting the abduction angle and observing the infusion arm) (according to the Federal Supreme Court in its j udgement pronounced on 24.1.1995 - VI ZR 60/94 - ArztRecht 1996,

62). By contrast, it is advisable to make corresponding reference to any risk factors in the operating report, documenting how these were taken into account, for example including any effects on the positioning of the patient (as stated by Vinz, loc. cit. p. 21). Such risk factors can include severe emaciation, neurological disorders, joint contractures, atrophic skin diseases, abnormal perspiration, excessively extended positioning of the operating table because of blameless, intraoperative surgical or anaesthesia complications, long-term blameless cardiovascular depression or allergies to skin.

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