Reverse Trendelenburg

This position is used to facilitate upper abdominal surgery with displacement of abdominal content caudal.

Anesthetic considerations

• Hypotension due to decreased venous return – pooling in lower extremities
• Increased lung volumes
• Maintain adequate MAP to ensure adequate cerebral perfusion in reverse Trendelenburg
• Use footboard if steep reverse Trendelenburg is anticipated as opposed to tightening table strap to prevent lower extremity neuropathies