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Dictionary · Eponym

Trendelenburg position

A position in which the client lies on the back with the bed tilted so the head is lower than the feet.

tren-DEL-en-burg puh-ZISH-un noun

What it means

Named after Friedrich Trendelenburg, a German surgeon. It is used in some lower abdominal and pelvic surgery, and when a central line is placed in a neck vein, because tilting the head down fills the neck veins and lowers the risk of air entering them. Reverse Trendelenburg tilts the other way, head higher than the feet. Head-down tilting for low blood pressure is no longer advised; raising the legs alone is used instead.

For the nurse

Use it only when ordered or for a defined procedure, and for as short a time as possible. Head-down tilting raises pressure in the head, makes breathing harder and raises the risk of aspiration.

At a glance

Also writtenTrendelenburg

Related terms

supine

Lying flat on the back, face up.

central venous catheter

An IV catheter whose tip sits in a large vein near the heart, used for long-term drugs, fluids, nutrition or blood draws.

shock

A life-threatening state in which blood flow is too low to bring enough oxygen to the body's tissues.

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