What is an important consideration when positioning a patient in lateral positions during surgery?

In lateral positions during surgery, one of the key considerations is the potential for pressure injuries on the dependent side of the patient. When a patient is positioned laterally, the body weight shifts towards the side that is down, which can compress tissues and blood vessels, leading to adverse effects such as ischemia or pressure ulcers. Proper padding, support, and careful monitoring are essential to reduce the risk of injury in this position. This focus on preventing pressure-induced harm reinforces the importance of using adequate positioning aids and checking skin integrity throughout the procedure.

The other options do not accurately capture the critical nature of this consideration. Keeping the patient flat may not always be necessary or beneficial depending on the surgical procedure being performed. Elevating only the upper body might not address concerns related to the dependent side. Lastly, suggesting that all lateral positions are equally safe ignores the significant variability in patient anatomy and the potential for localized pressure injuries that vary by position and body type.