Trendelenburg is a medical procedure known to help patients with blood pressure complications,recovering from shock, anaphylaxis and hypotension. The position was named after Dr. Friedrich who innovated the surgical procedures of pelvic surgeries. It majorly used the concept of gravity pull to lift the abdominal organs up hence improving visibility. Nurses play and health care workers play a big role in using the position to cure patients who are suffering from shock. There are many types such as the modified trendelenburg which is performed when the patient’s legs are elevated and the trendelenburg which is used when the patient’s head is lower than the feet. It is used when the patient’s body is lying face up and his/her legs are above the head at a certain angle. There is also a reverse position where the patient is placed at a lower angle so that his/her head is above his feet. This position was adopted for surgery purposes and it is still in use till date. It is best effective when the patient is tilting the head at 10 degrees.
Trendelenburg and babies
Other than using it in abdominal surgeries,it is used by medics in turning a baby during labor. This involves a natural technique of reversing gravity for ample room creation to rotate the baby. It also prevents delivery risks to the mother of the infant when giving birth by reducing pressure in the umbilical cord. This increases the supply of oxygen from the umbilical cord to the baby.Divers who engage in deep diving are also medicated on this technique to help them recover but research for various medical procedures reveals it can lead to vomiting and respiratory problems. Trendelenburg is also used to relieve women from cramps which cause pain in the abdomen that are as a result of menstrual cycles and also increase flow of blood in the brain.
There are however negative effects in using this position namely; high negative effects on obese patients which result to high blood pressure levels after frequent trendelenburg procedures,head injury patients who are affected by increased intacranial pressure in the cranium, hypotension patients and patients with pulmonary disorders. It also has complications to the patients such as; increased risk from aspiration by the gastric fluids which can prove fatal to the gastric glands,patients under prolonged trendelenburg suffered from restlessness and increased anxiety. Other patients who underwent the medical procedure ailed from poor lung ventilation due to reduced expansion in the respiratory system. The procedure also led to low perfusion ratio due to the gravity characteristics of blood.
The Trendelenburg Procedure:
The nurses and medical professions should use the trendelenburg procedure when removing or inserting venous catheters and when performing various anaesthetic operations. They should not use the procedure on patients with cerebral oedema, hypotensive patients and patients with high intracranial pressure. There are no evidences that prove major benefits of trendelenburg and it is highly criticized when used to treat patients suffering from shock. For this reason,many medical practitioners no longer use it to treat the above listed conditions.