What position should a patient be placed in to ensure their knees are over the break in the procedure bed?

• A. Supine position
• B. Trendelenburg position
• C. Fowler's position
• D. Sitting position

Answer: (B)

The Trendelenburg position is designed to facilitate optimal positioning during various surgical procedures by tilting the patient’s body so that the head is lower than the feet. This position helps improve venous return to the heart, which is beneficial in maintaining blood pressure, especially in cases of significant blood loss or shock. Placing the patient in this position ensures that their knees are aligned correctly over the break in the procedure bed, which is essential for effective access to the surgical site and helps in proper patient safety and stability.

This positioning is often utilized in abdominal or pelvic procedures, allowing for better surgical visibility and access. Additionally, it can aid in reducing complications related to blood loss during surgery.

In contrast, other positions like supine or Fowler's may not provide the same alignment and benefits associated with the Trendelenburg position and might not ensure that the knees are properly positioned relative to the break in the bed. The sitting position, while useful for certain procedures, does not facilitate the physiological benefits important for many surgeries.