The art of anaesthesia . sults if the knees are not flexed, as shown in and 20. The object of the Trendelenburg position is to securebetter exposure of the pelvic organs by virtue of the dis-placement by gravity of the abdominal viscera. It is mostadvantageously used in thin subjects. It is contraindicatedin cases presenting free pelvic pus. This position pro-duces engorgement of the blood vessels of the head andneck. The pharyngeal structures and the tongue areswollen and often give rise to obstructed there is danger of acute cardiac dilatation througha preceding acu
The art of anaesthesia . sults if the knees are not flexed, as shown in and 20. The object of the Trendelenburg position is to securebetter exposure of the pelvic organs by virtue of the dis-placement by gravity of the abdominal viscera. It is mostadvantageously used in thin subjects. It is contraindicatedin cases presenting free pelvic pus. This position pro-duces engorgement of the blood vessels of the head andneck. The pharyngeal structures and the tongue areswollen and often give rise to obstructed there is danger of acute cardiac dilatation througha preceding acute infection or fatty degeneration, this posi-tion should not be used because of the increased strainthrown on the right heart. In fat people the use of this position has been followedby intestinal obstruction. Volvulus of the ileum and ofthe large intestine have also occurred. When the Trendel-enburg position has been employed, the omentum should bespread out in its normal position after the table is raised. ANAESTHESIA. Fi<;. 16.—Tabic in Trendelenburg position.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanesthe, bookyear1919
