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The eyes should be padded with protective gauze pieces and taped (10), because there can be reflux of acidic gastric contents or secretions onto the face and the eyes in the steep head-down position.
In bronchoscopy and aspirated specimens reduction of contamination may be accomplished by a head-down position to reduce gravitational flow of saliva.
Her blood pressure was also quite low--at one point 70s/30s--which we treated by giving her generous IV fluids and placing her bed in the head-down position.