Reverse Trendelenburg Positioning

Positioning the Patient: Patient is positioned in supine with table tilted so feet are lower than the head, typically between 15° and 30°. Head is neutral and aligned with spine. Arms, elbows, and hands are tucked or secured along patient’s sides with palms facing in or extended on armboards with palms up. Feet rest firmly on padded footboard.
Pressure Concerns: Occiput, scapulae, thoracic vertebrae, olecranon processes, lumbar, sacrum, coccyx, ischial tuberosities, popliteal area, calcanei
Common Surgical Procedures: Gall bladder, stomach, prostrate, biliary tract, head, neck

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Patient Positioning Videos


  1. Positioning the Patient for Surgery
  2. AORN Guideline Essentials: Positioning the Patient
  3. AORN Guidelines for Perioperative Practice