S2e guideline: positioning and early mobilisation in prophylaxis or therapy of pulmonary disorders : Revision 2015: S2e guideline of the German Society of Anaesthesiology and Intensive Care Medicine (DGAI).
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.
Clinic for Anaesthesiology, University Hospital Regensburg, 93042, Regensburg, Germany. thomas.bein@klinik.uni-regensburg.de.
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Bein
Clinic for Anaesthesiology, University Hospital Regensburg, 93042, Regensburg, Germany.
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Bischoff
Physiotherapy Department, Clinic Donaustauf, Centre for Pneumology, 93093, Donaustauf, Germany.
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Brückner
Clinic for Anaesthesiology, University Hospital Regensburg, 93042, Regensburg, Germany.
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Gebhardt
Clinic for Anaesthesiology, Surgical Intensive Care Medicine, Emergency Care Medicine, Pain Management, Klinikum Herford, 32049, Herford, Germany.
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Henzler
HELIOS Clinic Siegburg, 53721, Siegburg, Germany.
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Hermes
Clinic for Anaesthesiology, Intensive Care Medicine and Pain Management, Elisabeth Hospital Essen, 45138, Essen, Germany.
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Lewandowski
Centre Hospitalier, Soins Intensifs Polyvalents, 1210, Luxembourg, Luxemburg.
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Max
Association of Scientific Medical Societies (AWMF), 35043, Marburg, Germany.
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Nothacker
University Hospital for Internal Medicine I, Medical University of Wien, General Hospital of Vienna, 1090, Vienna, Austria.
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Staudinger
Clinic for Anaesthesiology, Intensive Care Medicine and Pain Management, Klinikum Kassel, 34125, Kassel, Germany.
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Tryba
Clinic for Anaesthesiology and Surgical Intensive Care Medicine, Charité Universitätsmedizin Berlin, Campus Virchow Klinikum, 13353, Berlin, Germany.
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Weber-Carstens
Clinic and Policlinic for Anaesthesiology and Intensive Care Medicine, University Hospital Leipzig, 04103, Leipzig, Germany.
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Wrigge
D003422:Critical Care; D004434:Early Ambulation / Q000379:methods*; D005858:Germany; D019983:Guideline Adherence; D006801:Humans; D008171:Lung Diseases / Q000517:prevention & control*; D056888:Patient Positioning / Q000009:adverse effects; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*; D016684:Prone Position; D012399:Rotation
backrest elevation; continuous lateral rotation; early mobilisation; positioning therapy; prone position; pulmonary disorder