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