De Anima: Torstrik, 1862; Trendelenburg
, 2nd edition, 1877, with English translation, E.
After instillation patient was positioned in Trendelenburg
, anti-Trendelenburg, left and right lateral decubitus and finally in supine position for spread of drug for a period of 2 minutes in each position before positioning the patient in anti-Trendelenburg position with left tilt (10 degrees) for surgery.
Robotic gynecologic surgery increases the risk even more, because patients are under longer than with other approaches, and the steep Trendelenburg
increases intraocular pressure and eye edema, especially with excess IV fluid.
Most of today's readers would be justifiably confused to read that the patient was unresponsive despite "being wide open with shock blocks" (Trendelenburg
positioning with intravenous fluid bolus).
The anti Trendelenburg
position should be modified by turning patients to their left side by approximately 20[degrees].
Further, the Trendelenburg
position is widely used to increase venous return in patients with hypotension after induction of anesthesia and during maintenance., Here, we report the case of a young male patient with PCLD and compression of the IVC who developed refractory hypotension after induction of anesthesia and could not be treated using any of the above-mentioned approaches.
Priya Devadas, Specialist General Surgeon, said previously, surgeons used the open Trendelenburg
procedure to treat varicose veins where an incision is made on the thigh and the complete vein is removed, which can be painful and required the patient to be in the hospital for one or two days.
For instance, in the cases of gynecologic surgery, we could not always assess all the blood loss because of the Trendelenburg
position, where the blood could rest in the abdominal cavity .
We present 2 cases of PSVT who converted to sinus rhythm by Trendelenburg
positioning of the patient with deep breathing, "head down deep breathing" (HDDB).
RALP requires the use of a steep Trendelenburg
position in which patients are placed in a supine position with their feet positioned above their head at an angle of inclination of 25 to 30 degrees.
The patient was in a steep Trendelenburg
position with abdominal insufflation at 15 mmHg for the case.
showed that volume guaranteed PCV is better than VCV in patients who underwent surgical cholecystectomy in trendelenburg
position regarding lower peak inspiratory pressure and greater dynamic compliance.16 A meta-analysis showed that there is no significant difference between two modes in obese patients undergoing surgery but there is some positive evidence regarding intra and postoperative effects of PEEP and because of concerns about the effect of PEEP we deleted its effect with setting equal PEEP in both groups.17 Another meta-analysis compared VCV with PCV during laparoscopic cholecystectomy and showed lower peak pressure and higher compliance and mean airway pressure with PCV mode.