What is the best position for a patient in shock?
The shock position is the position of a person who is lying flat on his or her back with the legs elevated approximately 8-12 inches. This is used when a patient is showing signs of shock. The shock position is also used for patients experiencing heat related emergencies.
The reverse trendelenburg position is also used to improve surgical exposure of the prostate and minimally invasive upper abdominal procedures. Given that position have a tremendous effect on intraoperative bleding, we aimed to compare reverse trendelenburg position and head-up position in decreasing blood loss.
- Complications of the Trendelenburg position include increased intracranial and intraocular pressure, as well as increased facial/laryngeal edema which can lead to post-operative airway obstruction (consider using the air leak test in these patients). FRC and pulmonary compliance are reduced by the dislocated viscera.
- The Sims' position, named after the gynaecologist James Marion Sims, is usually used for rectal examination, treatments and enemas. It is performed by having a patient lie on their left side, left hip and lower extremity straight, and right hip and knee bent. It is also called lateral recumbent position.
- Upright at 90 degrees is full or high Fowler's position. Semi-Fowler's would be tilted back to approximately 30 degrees.
The Trendelenburg Test or Brodie-Trendelenburg test is a test which can be carried out as part of a physical examination to determine the competency of the valves in the superficial and deep veins of the legs in patients with varicose veins.
- Compensation then results in areas of muscle tightness, weakness, and chronic injury. One of the most common deficiencies seen in runners that results in compensation is what's called a “hip drop.” A hip drop occurs when full body weight is being supported on one leg, like during the stance phase of running.
- The hip abduction and adduction is a machine that undergoes a slight modification to work the adductor muscle groups on your inner thighs and the abductor muscle groups on the outside of your hips. To work the abductors, place your legs inside the pads and press outward against them, working against the resistance.
- Adductor magnus. On the medial side (closest to the middle) of the thigh, the adductor magnus muscle creates the shape of a large triangle. As an adductor, it contracts and pulls the hip towards the body's midline. The muscle also extends the hip.
The dorsal recumbent position is a position in which an individual (usually a patient) lies on their back with their knees bent up in an outward position while their feet are planted flat on the ground, a bed, table or resting platform allowing the pelvic area to be easily examined and observed.
- Medical Definition of Lithotomy position. Lithotomy position: Position in which the patient is on their back with the hips and knees flexed and the thighs apart. The position is often used for vaginal examinations and childbirth.
- Horizontal Recumbent Position. Used for most physical examinations. Patient is on his back with legs extended. Dorsal Recumbent Position.
- The semirecumbent position is an upright positioning of the head and torso at an angle of 45°. The effects of adopting the semirecumbent position in critically ill patients have been extensively investigated as a potential means of preventing ventilator-associated pneumonia (VAP).
Updated: 2nd October 2019