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The Nextend Positioning System is an easy-to-use positioner for anterior cervical cases, 
most commonly ACDF. It consistently positions each patient and makes set-up time 
more efficient. The following steps illustrate the set-up process and ease of use:

P O S I T I O N I N G   S Y S T E M

Position The Nextend with narrow 
end towards anesthesia and 
secure to table with table strap

Attach one side of the Y-strap that 
is opposite of the endotracheal tube 
with single-use padding facing up 
with long strap towards anesthesia

Attach other side of Y-strap to 
avoid endotracheal tube, and flip 
Y-strap over patient

Place leg bolster just distal 
to the torso base and secure 
with table straps

Prior to transferring patient, 
attach arm straps with abrasive 
velcro facing away from patient

Ensure the shoulders and arms 
are well padded with single-use 
padding and adjust cervical position 
as needed with occipital bolster

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