Trendelenburg position

Trendelenburg Position

Trendelenburg position

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Description:
In the Trendelenburg position the body is laid flat on the back (supine position) with the feet higher than the head, in contrast to the reverse Trendelenburg position, where the body is tilted in the opposite direction. This is a standard position used in abdominal and gynecological surgery. It allows better access to the pelvic organs as gravity pulls the intestines away from the pelvis. It was named after the German surgeon Friedrich Trendelenburg. It is not recommended for the treatment of hypovolaemic shock.

Uses

  • Hypotensive patients (patients with low blood pressure) have historically been placed in the Trendelenburg position in hopes of increasing their cerebral perfusion pressure (the blood pressure in the brain). A 2005 literature review found the "Literature on the position was scarce, lacked strength, and seemed to be guided by 'expert opinion.'" However, the passive leg raising test is a useful clinical guide to fluid resuscitation and can be used for effective autotransfusion.
  • The Trendelenburg position used to be the standard......
  • ...

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