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 foot board if steep reverse Trendelenburg is anticipated as opposed to tightening table strap to prevent lower extremity neuropathies