关键词: backrest elevation continuous lateral rotation early mobilisation positioning therapy prone position pulmonary disorder

Mesh : Critical Care Early Ambulation / methods Germany Guideline Adherence Humans Lung Diseases / prevention & control Patient Positioning / adverse effects Postoperative Complications / etiology prevention & control Prone Position Rotation

来  源:   DOI:10.1007/s00101-015-0071-1   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
The German Society of Anesthesiology and Intensive Care Medicine (DGAI) commissioneda revision of the S2 guidelines on \"positioning therapy for prophylaxis or therapy of pulmonary function disorders\" from 2008. Because of the increasing clinical and scientificrelevance the guidelines were extended to include the issue of \"early mobilization\"and the following main topics are therefore included: use of positioning therapy and earlymobilization for prophylaxis and therapy of pulmonary function disorders, undesired effects and complications of positioning therapy and early mobilization as well as practical aspects of the use of positioning therapy and early mobilization. These guidelines are the result of a systematic literature search and the subsequent critical evaluation of the evidence with scientific methods. The methodological approach for the process of development of the guidelines followed the requirements of evidence-based medicine, as defined as the standard by the Association of the Scientific Medical Societies in Germany. Recently published articles after 2005 were examined with respect to positioning therapy and the recently accepted aspect of early mobilization incorporates all literature published up to June 2014.
摘要:
德国麻醉学和重症监护医学学会(DGAI)从2008年开始对S2指南进行了“用于预防或治疗肺功能障碍的定位疗法”的修订。由于临床和科学相关性的增加,指南被扩展到包括“早期动员”的问题,因此包括以下主要主题:使用定位疗法和早期动员来预防和治疗肺功能障碍,定位治疗和早期动员的不良影响和并发症,以及使用定位治疗和早期动员的实际方面。这些指南是系统文献检索和随后用科学方法对证据进行批判性评估的结果。指南制定过程的方法学方法遵循循证医学的要求,由德国科学医学会协会定义为标准。2005年以后最近发表的文章在定位治疗方面进行了审查,最近接受的早期动员方面纳入了截至2014年6月发表的所有文献。
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