Trendelenburg Position Essay

2254 Words Oct 29th, 2013 10 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
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Today, the Trendelenburg position remains a time honored tradition in the early management of the hypotensive patient. So why should the world of Health Care change such a tradition that has been practiced for many years? Clark & Shammas (2008) summarized the state-of-play regarding the use of the Trendelenburg position to treat acute hypotension as follows:
“Trendelenburg position is widely used by nurses and other healthcare providers as a first-line intervention in the treatment of acute hypotension and / or shock. A review of the results of five research studies did not provide overwhelming support for its use of hypotension. When Trendelenburg positioning improved cardiac parameters, it was brief and was followed by hemodynamic deterioration that led to a negative consequence. Adverse consequences were found in certain patient populations when obese, had compromised right ventricular ejection fraction, a pulmonary disorder, or a head injury. The Trendelenburg position should be avoided as a treatment of acute hypotension / shock until definitive research was larger sample sizes is conducted the support its use as safe and effective.”
Other research showed that studies which have demonstrated an increase blood pressure and cardiac output are limited. When observed, the increase is generally

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