Why the study?
Do the Trendelenburg position and passive leg raising improve cardiopulmonary performance in anesthetized patients with coronary artery disease?
Population
18 anesthetized patients with coronary artery disease undergoing myocardial revascularization
Comparison
Trendelenburg position and passive straight leg… vs Level-supine position
Design
RCT, random order
Follow-up
3 minutes
Authors
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Caution against Trendelenburg positioning in anesthetized CAD patients; challenges presumed hemodynamic benefits and warrants further study of alternatives.
Do the Trendelenburg position and passive leg raising improve cardiopulmonary performance in anesthetized patients with coronary artery disease?
The Trendelenburg position and passive leg raising provide only minor hemodynamic improvement while causing right ventricular dilation and impaired oxygenation in anesthetized cardiac surgical patients.
Reich et al. (1989) studied this question.
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