Trendelenburg position

• 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 embolise. 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 themselves at the same angle and an intraoperative [ citation needed] • The Trendelenburg position along with the • The Trendelenburg position is helpful in surgical reduction of an abdominal hernia. • The Trendelenburg position is also used when placing a • The Trendelenburg position can also be used in respiratory patients to create better perfusion. • 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. • The Trendelenburg position may be used for drainage images during • The Trendelenburg position is reasonable in those with a • If a patient in a Controversial uses [ ] • Ostrow, CL (May 1997). "Use of the Trendelenburg position by critical care nurses: Trendelenburg survey". American Journal of Critical Care. 6 (3): 172–6. • Johnson, S; Henderson, SO...

For many years, EMS relied on the Trendelenburg position – elevating the patient's feet higher than the head – was a vital treatment for shock, and would raise blood pressure, and perhaps cause blood to flow from the legs to the trunk. German surgeon Friedrich Trendelenburg first described Trendelenburg position in 1873. He would tilt his patients at a 45-degree angle during pelvic surgeries to get a clearer view of their abdominal organs. Trendelenburg was also used on the battlefields of World War I when wounded soldiers were tilted in hopes of increasing blood pressure and drawing blood to the heart and brain. Patient positioning is a critical skill for EMS providers EMS providers and nurses have held Trendelenburg as the standard shock position for over 100 years, but new research shows that it has limited use and might even harm certain patients. So EMS providers and educators must ask: Is Trendelenburg position still used? And should we still use Trendelenburg position for EMS patients? Can Trendelenburg help patients in shock? Despite its wide use on early 20th century battlefields, there is little evidence that the Trendelenburg position actually helps patients recover from shock. A 2012 A 2012 study published in the Another group of clinicians was even more skeptical of Trendelenburg, insisting that patients should “never” be tilted to treat shock except in specific, closely-monitored situations. Is Trendelenburg position indicated in EMS? While Trendelenburg posi...

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We aim to explore the effect of head-down position (HDP), initiated within 24 hours of onset, in moderate anterior circulation stroke patients with probable large artery atherosclerosis (LAA) etiology. This investigator-initiated, multi-center trial prospective, randomized, open-label, blinded-endpoint, multi-center and phase-2 trial was conducted in China and completed in 2021. Eligible patients were randomly assigned (1:1) into the HDP group receiving −20° Trendelenburg, or control group receiving standard care according to national guideline. The primary endpoint was proportion of modified Rankin Scale (mRS) of 0 to 2 at 90 days, which is a scale for measuring the degree of disability after stroke. 90-day mRS was assessed by a certified staff member who was blinded to group assignment. A total of 96 patients were randomized (47 in HDP group and 49 in control group) and 94 (97.9%) patients were included in the final analysis: 46 in HDP group and 48 in control group. The proportion of favorable outcome was 65.2% (30/46) in the HDP group versus 50.0% (24/48) in the control group (unadjusted: OR 2.05 [95%CI 0.87-4.82], P = 0.099). No severe adverse event was attributed to HDP procedures. This work suggests that the head-down position seems safe and feasible, but does not improve favorable functional outcome in acute moderate stroke patients with LAA. This trial was registered with ClinicalTrials.gov, NCT03744533. To date, there is a paucity of effective neuroprotective trea...

It’s common to reference the Trendelenburg Position in product descriptions for medical furniture, but not everyone knows exactly what that is. Use of the Trendelenburg position has long been employed across multiple medical disciplines including surgery, treatment of shock and hypotension, and respiratory ailments. Through the years, it’s been discontinued in some fields, while it’s still considered a helpful and valid treatment in others. We are inclined to agree, and you can find many examples of furniture utilizing the Trendelenburg position in our product listings. What is Trendelenburg Position? The Trendelenburg Position places the patient on a 15- to 30-degree incline, positioning the legs higher than the head. There’s a modified version where only the legs are raised. The Reverse Trendelenburg Positionplaces the patient on the same incline, but the head is higher than the legs. History of Trendelenburg Position The Trendelenburg position is named after German surgeon Friedrich Trendelenburg (1844-1924), who created it to improve the exposure of the pelvic organs during surgery. During World War I, American physiologist Walter Cannon used the Trendelenburg position as a treatment for shock because it increased venous return to the heart, cardiac output, and improved organ perfusion. Years later he reversed his opinion on its benefits, but by then it was widely in use. Today, it is employed in the early management of hypotension. Beds with Trendelenburg and Reverse ...

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