[wishingmary]

Thanks Gweneth,

I checked them out. I didn't find anything with a quick search. The second one has a list of topics I can look through. There are alot of interesting things in them.

[Zinnia]

Trendelenberg position puts pressure on the carotid sinus and you get a false improvement. Yes, the numbers 'look' better.
http://www.jems.com/jems/e0302k.html

[shannon8282]

I cant go into detail about it because of my lack of knowledge, but when I worked in a dialysis unit we used trendelenburg all of the time. If you know a dialysis nurse, they may be able to help you.

[Zee_RN]

I wrote this down in my notes while studying for my CCRN but I'm not sure where I got it from. I'll have to look it up to find the actual reference for you:

"The Trendelenburg position, once favored in managing shock, has been abandoned because it allows the diaphragm to migrate upward, thus compromising ventilation. Also, this position may cause a reflex inhibition of the pressoreceptor activity, thereby decreasing sympathetic stimulation and further compromising arterial blood pressure."

Unfortunately, I wrote it down for my own edification and did not include the reference. I'll look further for you, though, if that helps you.

[louloubell1]

Gotta say that I have never heard of using Trendelenberg for insertion of an art line to prevent PE...are you sure you're not thinking of trendelenberg for the insertion of a central line to prevent air emboli? I also have read the same thing that Zee_RN said in regards to the position actually stimulating the baroreceptors which then leads to further compromise.

[CougRN]

I have also heard about this falling out of favor. In our ICU we don't dump them on their heads anymore. For research on this I would suggest looking in medical journals and not nursing. This had been researched in critical care medicine so I would start there. Let us know where you find it, I would like to read the research myself. Best of luck.

[Katnip]

Last week, I saw them using Trendelenburg for postural therapy on a vented patient. They dumped him on his head to suction him. With the doctor's order.

[Zee_RN]

From what I read, Trendelenburg is still used for pulmonary hygiene purposes, CVP insertion, etc., but not for treatment of hypotension.

[renerian]

Use it for CVC insertions.renerian

[ladytraviler]

We use it in L&D if we have a cord prolapse. I have also used it for preterm labor prior to transfer to a higher level facility.