Trendelenburg Position Essay

2278 WordsNov 23, 201310 Pages
Abstract Hypotension is one of the top three most frequent causes of cardiac arrests in the United States. One early intervention used in treating hypotension is placing patients in Trendelenburg position. The purpose of this research was to review information on the use of the Trendelenburg position or variations of it to determine whether this position has an impact on hemodynamic status, to describe historical practices of the Trendelenburg position, state the reasons and need for possible change, described current best evidence, and define pros and cons for making the practice changes. Research material included scholarly peered articles, Internet Resources, and nursing textbooks revealing many studies which question the benefit of…show more content…
Modifications of the original posture have been used in diverse situations, with applications found for “high,” “low,” and “reverse-Trendelenburg.” Over the past 50 years, laboratory and clinical studies have described the physiologic effects of the Trendelenburg position in normal and hypotensive states. Because of conflicting results, differing opinions thrive with regard to the usefulness of the position in various medical applications. Some of these applications include hypovolemic or septic shock, abdominal surgery, patients under general or regional anesthesia and patients with spontaneous or controlled ventilation. More specifically, the usefulness of the Trendelenburg position comes into question in the field of anesthesia for central catheter placement, and the administration of certain drugs at the spinal level. Even though numerous studies have proven no significant evidence showing the Trendelenburg position to be effective, a considerable number of present-day clinical protocols and guidelines developed by the health administration and natural scientific societies do, in fact, include leg raising in the decubitus supine position as a standard procedure for hypotension. However, the utility attributed to the Trendelenburg position in this situation is in severe contrast with most of the studies reviewed, which include that, despite possible improvement in cardiac output,
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