Trendelenburg position

Trendelenburg position

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.

Eponym

It was named after the German surgeon Friedrich Trendelenburg. [WhoNamedIt|synd|967]

Uses

* Traditionally, the Trendelenburg position is the standard first aid position for shock and was used for injured SCUBA divers. 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.cite web |url=http://www.emedicine.com/emerg/topic154.htm |title=eMedicine - Dysbarism : Article by Stephen A Pulley |accessdate=2008-03-15 |format= |work=] "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 on the side.
* Hypotensive patients (patients with low blood pressure) are placed in Trendelenburg position to increase their cerebral perfusion pressure (the blood pressure in the brain).
* Perhaps because of its effect on breathing difficulty and airway problems, the Trendelenburg position is used in waterboarding.
* The Trendelenburg position may be used in childbirth when a woman's cervix is too swollen and won't quite dilate to 10 centimeters, or during the incidence of a prolapsed umbilical cord to take pressure off the cord and get more oxygen to the fetus, or it can be used to help rotate a posterior fetus either during pregnancy or the birth itself.
* Trendelenburg position in helpful in reducing an abdominal hernia.
*The Trendelenburg position is also used when placing a Central Venous Line.cite web |url=http://www.emedicine.com/Radio/topic859.htm |title=eMedicine - Central Venous Access : Article by Nikhil B Amesur, MD |accessdate=2008-03-15 |format= |work=] Trendelenburg position uses gravity to assist in the filling and distension of the upper central veins when placing a central line in the internal jugular or subclavian veins. It is also used in the placement of a external jugular peripheral line for the same reason. It plays no role in the placement of a femoral central venous line.

ee also

* Trendelenburg gait
* Trendelenburg's sign
* Fowler's position

References

External links

* [http://library.med.utah.edu/kw/derm/pages/antr_1.htm Photo]
* [http://www.operation-tables.com/table-positions.html Illustration of position in comparison to other positions]
* [http://www.humankinetics.com/products/showexcerpt.cfm?excerpt_id=3625 Human Kinetics' Victim Positioning]
* [http://www.cja-jca.org/cgi/content/full/48/9/890 According to The Canadian Journal of Anesthesia]


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Look at other dictionaries:

  • Trendelenburg position — Tren·de·len·burg position tren dəl ən .bərg n a position of the body for medical examination or operation in which the patient is placed head down on a table inclined at about 45 degrees from the floor with the knees uppermost and the legs… …   Medical dictionary

  • trendelenburg position — ˈtrendələnˌbərg noun Usage: usually capitalized T Etymology: after Friedrich Trendelenburg died 1924 German surgeon : a position of the body for medical examination or operation in which the patient is placed head down on a table inclined at… …   Useful english dictionary

  • Trendelenburg position — a special operating table posture for patients undergoing surgery of the pelvis or for patients suffering from shock to reduce blood loss in operations on the legs. The patient is laid on his back with the pelvis higher than the head, inclined at …   The new mediacal dictionary

  • Trendelenburg — could refer to:*Friedrich Adolf Trendelenburg (1802 1872), German philosopher and philologist *His son, Friedrich Trendelenburg (1844 1924), German surgeon *The Trendelenburg position *Trendelenburg s sign *The Trendelenburg gait …   Wikipedia

  • reverse Trendelenburg position — a supine position with the patient on a plane inclined with the head higher than the rest of the body and appropriate safety devices such as a footboard …   Medical dictionary

  • Position de Trendelenburg — Décubitus Pour les articles homonymes, voir Décubitus (homonymie). En médecine, le terme décubitus décrit un corps allongé à l horizontale. On distingue : le décubitus latéral : la personne est tournée sur le côté (voir position… …   Wikipédia en Français

  • Trendelenburg-Lagerung — Die Trendelenburg Lagerung oder Beckenhochlagerung ist die Lagerung eines Patienten auf einem um etwa 45 ° geneigten Tisch, und zwar so, dass der Kopf unten, das Becken hoch liegt und Beine und Füße über die Tischkante hängen. Trendelenburg… …   Deutsch Wikipedia

  • Trendelenburg gait — SignSymptom infobox Name = PAGENAME Caption = DiseasesDB = 29422 ICD10 = ICD9 = ICDO = OMIM = MedlinePlus = eMedicineSubj = eMedicineTopic = MeshID = The Trendelenburg gait is an abnormal gait caused by weakness of the abductor muscles of the… …   Wikipedia

  • Положение Тренделенбурга (Trendelenburg Position) — особое положение, в котором находится больной во время операции на органах таза или при шоке: положение лежа на спине под углом 45 с приподнятым по отношению к голове тазом. Источник: Медицинский словарь …   Медицинские термины

  • position — 1. An attitude, posture, or place occupied. 2. Posture or attitude assumed by a patient for comfort and to facilitate the performance of diagnostic, surgical, or therapeutic procedures. 3. In obstetrics, the relation of an arbitrarily chosen …   Medical dictionary

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