What Is The Trendelenburg Position?
SonderCare Learning Center
SonderCare Learning Center
What Is The Trendelenburg Position? One feature of the SonderCare line of home hospital beds is the Tilt function. It allows users to take on what is known in the medical world as the Trendelenburg position. What is this position, and why do many of our clients need it?
Note: SonderCare is a healthcare equipment supplier; please ask your healthcare provider for any clinical or medical advice.
The Trendelenburg position places a person in a supine position (lying face up) on an incline between 15 and 30 degrees to get the legs higher than the head. A modified version of the technique only raises the legs.
The healthcare provider or user should minimize the degree of the Trendelenburg position as much as possible; if possible, the patient should be repositioned into the supine or reverse Trendelenburg position at established intervals.
The Anti-Trendelenburg position, also known as the Reverse-Trendelenburg position, involves placing the patient in the same position at an incline of between 15 and 30 degrees. In this case, though, the head is higher than the legs.
German surgeon Friedrich Trendelenburg invented the position; he used this method initially to improve the exposure of the pelvic organs during surgery. During World War I, doctors tried it for treating shock and hypotension, hoping it would increase blood perfusion to vital organs (this is now understood to be ineffective). In current surgical settings, the Trendelenburg position improves access to the pelvic organs by letting gravity move the patient’s abdominal organ towards the head.
In modern healthcare, doctors often turn to the Trendelenburg position for patients with respiratory issues. Raising the legs above the head may help improve the blood flow to the organs (called perfusion) in patients with respiratory illnesses. Healthcare professionals will also use it to increase respiratory function in overweight and obese patients by relieving pressure on the head.
Some users and healthcare providers believe resting in the Trendelenburg position for short periods will increase circulation and help the patient to relax. Users can also use the Anti-Trendelenburg position to improve circulation to the legs and feet.
Regardless of what they need it for, healthcare facilities and patients must have the correct equipment when using the Trendelenburg and Anti-Trendelenburg positions. Doctors and nurses use these features in medical facilities, but the beds can provide the same posture control and practicality at home, too.
Many doctors prescribe using one or both of these positions for their therapeutic benefits for congestive heart failure, edema, or other circulatory conditions. It’s believed that, in these healthcare cases, the patients must raise their legs above their heart for periods each day. If a physician prescribes this for an in-home patient, it’s good to have a hospital bed prepared to let them take on the position.
It could aid those who are dealing with issues related to restricted blood flow. A recent estimate suggests that 30 percent of seniors experience postural hypertension, causing a sudden and abrupt spike in blood pressure. It could lead to a person falling over due to this increase in blood pressure. The Trendelenburg position can allow patients to slowly raise and stabilize blood pressure before standing on their own.
By giving the user control over the bed’s Trendelenburg position, the tilting feature provides extra comfort and support for those who need a hospital bed. The Tilt feature may also be helpful for people who need their beds to sit up or raise their legs while in bed. Individuals with restricted mobility use the Trendelenburg position day-in-day-out to allow themselves to be comfortable. The Reverse-Trendelenburg position also helps patients with limited mobility sit right up in bed.
An electric hospital bed from SonderCare can also eliminate the need for manual tilting, which requires physical strength and can be very uncomfortable for patients and caregivers alike.
Lower abdominal operations such as colorectal, gynaecological, and gastrointestinal procedures, as well as central venous catheter implantation, are commonly performed in the Trendelenburg position. In a home setting it can be used to take pressure of critical areas and stimulate bloodflow.
A supine posture with the patient tilted at a 45-degree inclination, such that the pelvis is higher than the head, used both during pelvic surgery or for shock. Also, some practitioners recommend it for therapeutic benefits.
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