Contraindications should be determined by the medical staff of the hospital and documented in some manner (e.g., standards or in the patient’s chart). Following is a non-inclusive list of possible contraindications:

• Hypotension MAP <70
• Tachycardia >150
• CI <2.0
• Central line procedure
• Posterior circulation strokes
• Cervical spine instability – use reverse Trendelenburg
• Some femoral lines, i.e., IABP no higher than 30º – use reverse Trendelenburg
• Increased ICP, no higher than 30º and avoid hip flexion
• Proning