• Natalie Bridges and Adrian A Jarquin-Valdivia.
• The Neurointensive Care Unit, Vanderbilt University Medical Center, Nashville, TN, USA.
• Am. J. Crit. Care. 2005 Sep 1;14(5):364-8.

ObjectiveTo review the literature on use of the Trendelenburg position as a position for resuscitation of patients who are hypotensive.MethodsPubMed online, cited bibliographies, critical care textbooks, and Advanced Cardiac Life Support guidelines were searched for information on the position used for resuscitation. Because of the heterogeneity of the data, only pertinent articles and chapters were summarized.ResultsEight peer-reviewed publications on the position used for resuscitation were found. Pertinent information from 2 critical care textbooks and from the Advanced Cardiac Life Support guidelines was included in the review. Literature on the position was scarce, lacked strength, and seemed to be guided by "expert opinion."ConclusionThe general "slant" of the available data seems to indicate that the Trendelenburg position is probably not a good position for resuscitation of patients who are hypotensive. Further clinical studies are needed to determine the optimal position for resuscitation.

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