Schaller, Stefan J. and Scheffenbichler, Flora T. and Bein, Thomas and Blobner, Manfred and Grunow, Julius J. and Hamsen, Uwe and Hermes, Carsten and Kaltwasser, Arnold and Lewald, Heidrun and Nydahl, Peter and Reisshauer, Anett and Renzewitz, Leonie and Siemon, Karsten and Staudinger, Thomas and Ullrich, Roman and Weber-Carstens, Steffen and Wrigge, Hermann and Zergiebel, Dominik and Coldewey, Sina M. (2024) Guideline on positioning and early mobilisation in the critically ill by an expert panel. INTENSIVE CARE MEDICINE, 50 (8). pp. 1211-1227. ISSN 0342-4642, 1432-1238
Full text not available from this repository. (Request a copy)Abstract
A scientific panel was created consisting of 23 interdisciplinary and interprofessional experts in intensive care medicine, physiotherapy, nursing care, surgery, rehabilitative medicine, and pneumology delegated from scientific societies together with a patient representative and a delegate from the Association of the Scientific Medical Societies who advised methodological implementation. The guideline was created according to the German Association of the Scientific Medical Societies (AWMF), based on The Appraisal of Guidelines for Research and Evaluation (AGREE) II. The topics of (early) mobilisation, neuromuscular electrical stimulation, assist devices for mobilisation, and positioning, including prone positioning, were identified as areas to be addressed and assigned to specialist expert groups, taking conflicts of interest into account. The panel formulated PICO questions (addressing the population, intervention, comparison or control group as well as the resulting outcomes), conducted a systematic literature review with abstract screening and full-text analysis and created summary tables. This was followed by grading the evidence according to the Oxford Centre for Evidence-Based Medicine 2011 Levels of Evidence and a risk of bias assessment. The recommendations were finalized according to GRADE and voted using an online Delphi process followed by a final hybrid consensus conference. The German long version of the guideline was approved by the professional associations. For this English version an update of the systematic review was conducted until April 2024 and recommendation adapted based on new evidence in systematic reviews and randomized controlled trials. In total, 46 recommendations were developed and research gaps addressed.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | INTENSIVE-CARE-UNIT; RESPIRATORY-DISTRESS-SYNDROME; MECHANICALLY VENTILATED PATIENTS; NEUROMUSCULAR ELECTRICAL-STIMULATION; RANDOMIZED CONTROLLED-TRIAL; SCORE PREDICTS MORTALITY; ACQUIRED BRAIN-INJURY; PRONE POSITION; PHYSICAL REHABILITATION; INTRAABDOMINAL PRESSURE; Guideline; Patient positioning; Early mobilisation; Physical therapy modalities; Critical illness; Critical care |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Anästhesiologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 18 Aug 2025 08:58 |
| Last Modified: | 18 Aug 2025 08:58 |
| URI: | https://pred.uni-regensburg.de/id/eprint/65622 |
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