Indications

During Insertion of Central Venous Catheter (see Central Venous Catheter)

• Rationale: Trendelenburg position increases distention of internal jugular vein

Prevention of Further Air Embolism During the Treatment of Venous Air Embolism (see Air Embolism)

• Rationale
  • With Venous Air Embolism, Move Patient to Left Lateral Decubitus to Place the Right Ventricular Outflow Tract Inferior to Right Ventricular Cavity: this causes air to migrate superiorly into a position within the right ventricle where air is less likely to embolize (and prevents foramen ovale crossover, with subsequent embolization to the brain)
    • Durant’s Manuever: left lateral decubitus position (proven to decrease mortality in animal studies)
    • Left Lateral Decubitus Head Down Position
    • Trendelenburg Position (see Trendelenburg Position)

Ventilator Weaning in Spinal Cord Injury (see Spinal Cord Injury)

• Rationale

XXX

• xxx

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Contraindications

• Hypotension (see xxxx, [[xxxx]]): due to shift of abdominal contents upward with increased intrathoracic pressure, resulting in decreased venous return to the right side of the heart

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Adverse Effects/Complications

Cardiovascular Adverse Effects/Complications

• Decreased Venous Return to the Right Side of Heart
  • Physiology: due to shift of abdominal contents into the thorax, with resulting increased intrathoracic pressure

Pulmonary Adverse Effects/Complications

• xxxx

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References

• xxx