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Trendelenburg position

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Trendelenburg position

  1. 1. Trendelenburg Position
  2. 2.  Supine with the feet higher than head by 15° - 30°.
  3. 3. History Friedrich Trendelenburg created the position . Walter Cannon - used for shock. A decade later, Cannon reversed his opinion but that did not deter its widespread use.
  4. 4. uses Insertion or removal of central venous catheters . Certain spinal anaesthetic techniques . Pelvic and gynaecologic surgery. Abdominal hernia reduction. Delivery - cord prolapse .
  5. 5. Not indicated or may have harmful effects in Resuscitation in hypotension/shock . Difficult mechanical . Decreased vital capacity. Increased intracranial pressure/ intraocular pressure . Cerebral oedema. Lower limbs ischaemia.
  6. 6. Complications ( esp. in hypotension) Anxiety . Hypoventilation and atelectasis . Altered V/Q ratios . Increased intracranial pressure . Decreased cardiac output and hypotension. Risk of aspiration .
  7. 7.  Current data to support the use of the Trendelenburg position during shock are limited and do not reveal any beneficial or sustained changes in systolic blood pressure or cardiac output.
  8. 8. Use/not use“It is the mark of an educated mind to be able to entertain a thought without accepting it”. Aristotle

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