89:
183:
218:. Many experienced divers still believe this position is appropriate, but current scuba first aid professionals no longer advocate elevating the feet higher than the head. The Trendelenburg position in this case increases regurgitation and airway problems, causes the brain to swell, increases breathing difficulty, and has not been proven to be of any value. "Supine is fine" is a good, general rule for victims of submersion injuries unless they have fluid in the airway or are breathing, in which case they should be positioned in the
27:
195:(low blood pressure) have historically been placed in the Trendelenburg position in hopes of increasing blood flow to the brain. A 2005 review found the "Literature on the position was scarce, lacked strength, and seemed to be guided by 'expert opinion.'" A 2008 meta-analysis found adverse consequences to the use of the Trendelenburg position and recommended it be avoided. However, the
35:
102:
Most recently, the reverse
Trendelenburg position has been used in minimally invasive glaucoma surgery, also known as MIGS. This position is commonly used for a superior sitting surgeon that uses a combination of downward patient tilt, of approximately 30 to 35 degrees, microscope tilt towards
97:
The
Trendelenburg position can be used to treat a venous air embolism by placing the right ventricular outflow tract inferior to the right ventricular cavity, causing the air to migrate superiorly into a position within the right ventricle from which air is less likely to
312:
172:
or semi fowlers position has sunk too far down into the bed, they may temporarily be put in a
Trendelenburg position while staff reposition them. This does not have a direct therapeutic action but rather provides a mechanical
141:. The Trendelenburg position uses gravity to assist in the filling and distension of the upper central veins, as well as the external jugular vein. It plays no role in the placement of a femoral central venous catheter.
147:
The
Trendelenburg position has occasionally been used to produce symptomatic relief from septum posticum cysts of the subarachnoid space in the spinal cord, but does not bring about any long-term benefits.
107:
or prisms that allows them to visualise the inferior trabecular meshwork. Some joysticking of the globe may be required with an appropriate goniolens to bring the meshwork into view.
199:
is a useful clinical guide to fluid resuscitation and can be used for effective autotransfusion. The
Trendelenburg position used to be the standard first aid position for
424:"Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): a randomised controlled trial"
525:
Powers SK, Stewart MK, Landry G (1988). "Ventilatory and gas exchange dynamics in response to head-down tilt with and without venous occlusion".
151:
747:
Terai C, Anada H, Matsushima S, Kawakami M, Okada Y (1996). "Effects of
Trendelenburg versus passive leg raising: autotransfusion in humans".
844:
941:
697:
Bridges N, Jarquin-Valdivia AA (2005). "Use of the
Trendelenburg position as the resuscitation position: to T or not to T?".
473:
Buchwald H (1998). "Three helpful techniques for facilitating abdominal procedures, in particular for surgery in the obese".
832:
913:
422:
Appelboam, A; Reuben, A; Mann, C; Gagg, J; Ewings, P; Barton, A; Lobban, T; Dayer, M; Vickery, J; Benger, J (2015).
833:"A study in prechamber treatment of cerebral air embolism patients by a first provider at Santa Catalina Island"
865:
120:
276:
Ostrow, CL (May 1997). "Use of the
Trendelenburg position by critical care nurses: Trendelenburg survey".
65:. It allows better access to the pelvic organs as gravity pulls the intra-abdominal organs away from the
936:
588:
247:
237:
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196:
257:
130:
77:
20:
211:
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The
Trendelenburg position can also be used in respiratory patients to create better perfusion.
859:
134:
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232:
169:
62:
8:
879:
565:
508:
200:
931:
772:
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650:"The repositioning of hospitalized patients with reduced mobility: a prospective study"
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404:
252:
486:
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423:
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who are unable to achieve a knee-to-chest position. It is a temporary measure until a
54:
similarly, places the body supine on an incline but with the head now being elevated.
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734:"Use of the Trendelenburg Position to Improve Hemodynamics During Hypovolemic Shock"
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88:
956:
901:
803:
756:
706:
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661:
630:
625:
Lore, Marybeth (March 2017). "Umbilical Cord
Prolapse and Other Cord Emergencies".
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561:
482:
445:
435:
388:
327:
285:
162:
126:
The Trendelenburg position is helpful in surgical reduction of an abdominal hernia.
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Body position lying flat on the back with the feet slightly above the head
792:"Myth: the Trendelenburg position improves circulation in cases of shock"
313:"Myth: the Trendelenburg position improves circulation in cases of shock"
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182:
70:
34:
26:
634:
450:
760:
104:
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on a 15–30 degree incline with the feet elevated above the head. The
665:
648:
Latimer, Sharon; Chaboyer, Wendy; Gillespie, Brigid M. (July 2015).
376:
150:
The Trendelenburg position may be used for drainage images during
115:, termed as modified-Valsalva maneuver, can also be used for the
58:
206:
The Trendelenburg position can also be used in the treatment of
377:"Venous air embolism: clinical and experimental considerations"
66:
73:, with concerns for negative effects on the lungs and brain.
746:
552:
Teng P, Rudner N (1960). "Multiple arachnoid diverticula".
932:
Illustration of position in comparison to other positions
157:
The Trendelenburg position is reasonable in those with a
647:
696:
421:
129:
The Trendelenburg position is also used when placing a
30:
Medical mannequin placed in the Trendelenburg position
580:
524:
103:themselves at the same angle and an intraoperative
900:. Springer, Berlin, Heidelberg. pp. 629–633.
186:A historic depiction of the Trendelenburg position
948:
789:
310:
942:According to The Canadian Journal of Anesthesia
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152:endoscopic retrograde cholangiopancreatography
76:The position was named for the German surgeon
847:. Archived from the original on June 12, 2009
824:
783:
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830:
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527:Aviation, Space, and Environmental Medicine
896:Szpilman, David; Handley, Anthony (2014).
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111:The Trendelenburg position along with the
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346:
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33:
25:
845:Undersea and Hyperbaric Medical Society
69:. Evidence does not support its use in
949:
732:Kettaneh, Nicolas (October 30, 2008).
627:The Global Library of Women's Medicine
320:Canadian Journal of Emergency Medicine
275:
57:The Trendelenburg position is used in
501:
269:
177:
624:
566:10.1001/archneur.1960.03840090112015
352:
13:
937:Human Kinetics' Victim Positioning
311:Johnson, S; Henderson, SO (2004).
14:
978:
925:
699:American Journal of Critical Care
586:
278:American Journal of Critical Care
790:Johnson S, Henderson SO (2004).
393:10.1097/00003246-199208000-00017
61:, especially of the abdomen and
48:lain supine, or flat on the back
889:
725:
641:
83:
52:reverse Trendelenburg position,
545:
415:
368:
1:
591:. In Cotton, Peter B. (ed.).
509:Central Venous Access Imaging
487:10.1016/S0002-9610(97)00233-X
441:10.1016/S0140-6736(15)61485-4
263:
906:10.1007/978-3-642-04253-9_97
837:Undersea Biomedical Research
121:supraventricular tachycardia
7:
475:American Journal of Surgery
226:
10:
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355:"Trendelenburg's position"
18:
864:: CS1 maint: unfit URL (
809:10.1017/S1481803500008915
711:10.4037/ajcc2005.14.5.364
332:10.1017/s1481803500008915
290:10.4037/ajcc1997.6.3.172
197:passive leg raising test
19:Not to be confused with
749:Intensive Care Medicine
601:10.1002/(ISSN)1478-1239
131:central venous catheter
78:Friedrich Trendelenburg
589:"Fundamentals of ERCP"
248:Semi-Fowler's position
238:High Fowler's position
212:decompression sickness
187:
93:
44:Trendelenburg position
39:
38:Trendelenburg position
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554:Archives of Neurology
353:Enersen, Ole Daniel.
216:arterial gas embolism
185:
92:Reverse Trendelenburg
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37:
29:
831:Stonier, JC (1985).
375:Orebaugh SL (1992).
258:Trendelenburg's sign
63:genitourinary system
21:Trendelenburg's sign
635:10.3843/GLOWM.10136
761:10.1007/BF01708113
434:(10005): 1747–53.
253:Trendelenburg gait
188:
178:Controversial uses
168:If a patient in a
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71:hypovolaemic shock
40:
32:
243:Recovery position
233:Fowler's position
220:recovery position
170:Fowler's position
165:can be performed.
113:Valsalva maneuver
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208:scuba divers
191:People with
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84:Current uses
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962:Gynaecology
802:(1): 48–9.
736:. BestBets.
481:(1): 63–4.
326:(1): 48–9.
193:hypotension
951:Categories
851:2009-03-19
361:2009-03-04
264:References
885:eMedicine
880:Dysbarism
674:2054-1058
609:246400819
514:eMedicine
173:advantage
105:goniolens
98:embolise.
898:Drowning
818:17433146
777:37299997
719:16120887
574:13837415
460:26314489
409:24233684
340:17433146
227:See also
957:Surgery
769:8814487
683:5047314
539:3355478
495:9445243
401:1643897
298:9131195
133:in the
59:surgery
42:In the
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428:Lancet
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67:pelvis
773:S2CID
605:S2CID
405:S2CID
316:(PDF)
210:with
201:shock
910:ISBN
866:link
814:PMID
796:CJEM
765:PMID
715:PMID
670:ISSN
593:ERCP
570:PMID
535:PMID
491:PMID
456:PMID
397:PMID
336:PMID
294:PMID
902:doi
883:at
804:doi
757:doi
707:doi
678:PMC
662:doi
631:doi
597:doi
562:doi
512:at
483:doi
479:175
446:hdl
436:doi
432:386
389:doi
328:doi
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214:or
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119:of
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