Placement on hip spica box
The anesthetized child is transferred onto the hip spica box. It should be ensured that enough people are available to help positioning and stability.
The child’s sacrum should rest on the back support with its perineum against the padded post. The shoulders should be supported by the spica box leaving almost the entire torso free for casting.
The back support can be secured to the apparatus with tape.
Pitfall: Avoid inadvertent extubation during transfer and casting. Discuss airway management with the anesthetist beforehand.