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Med Klin Intensivmed Notfmed · Sep 2016
[Positioning therapy and early mobilization in intensive care units : Findings from the current 2015 guidelines].
- C Hermes, P Nydahl, D Henzler, and T Bein.
- Interdisziplinäre ITS + IMC & CPU 23, HELIOS Klinikum Siegburg, Ringstraße 49, 53721, Siegburg, Deutschland. carsten.hermes@helios-kliniken.de.
- Med Klin Intensivmed Notfmed. 2016 Sep 1; 111 (6): 567-79.
AbstractThe 2007 guidelines "Positioning for prophylaxis and therapy of pulmonary disorders" were completely revised in 2015 on behalf of the German Society of Anaesthesiology and Intensive Care Medicine. With regard to practical and scientific relevance, early mobilization of patients in critical care has been included in the guidelines for the first time. Furthermore, the recommendations for prone positioning have been updated, based on current evidence in medicine and nursing. In addition, recommendations regarding unsuitable positions that may actually harm patients were made. As such, the flat supine position should only be used in cases of urgent medical or nursing needs. This underlines the importance of a moderately elevated head of bed position (20(o)-45(o)) in mechanically ventilated patients.
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