• Proper patient positioning during CV catheter insertion is essential to enable optimal access to the site and prevent contamination. • Place the patient in Trendelenburg’s position to dilate the veins and reduce the risk of air embolism • For subclavian insertion, place a rolled blanket or towel lengthwise between the sholuders to increase venous distention • For jugular insertion, placed a rolled blanket or towel under the opposite shoulder to extend the neck, making anatomic landmarks more visible Trendelenburg Position • Tilting a supine patient head down, the Trendelenburg position, is often used to increase venous return during hypotension, to improve exposure during abdominal and laparoscopic surgery, and to prevent air emboli and facilitate cannulation during central line placement • The Trendelenburg position has significant cardiovascular and respiratory consequences The head down position Increase central venous, intracranial, and intraocular • Prolonged head-down position also can lead to swelling of the face, conjunctiva, larynx, and tongue with an increased potential for postoperative upper airway obstruction Posisi Pasien terhadap transduser