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Trendelenburg position : ウィキペディア英語版
Trendelenburg position

In the Trendelenburg position, the body is laid flat on the back (supine position) with the feet higher than the head by 15-30 degrees, 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. It was named after the German surgeon Friedrich Trendelenburg.
In the past, Trendelenburg position was used for patients in hypovolemic shock, with the thought that it would help maintain blood flow to the brain. This is no longer recommended because research shows it to be counterproductive.
==Current uses==

* The Trendelenburg position is helpful in surgical reduction of an abdominal hernia.
* The Trendelenburg position is also used when placing a central venous line. The 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 an external jugular peripheral line for the same reason. It plays no role in the placement of a femoral central venous line.
*The Trendelenburg position is also 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 Endoscopic retrograde cholangiopancreatography.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
ウィキペディアで「Trendelenburg position」の詳細全文を読む



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