[Positioning therapy and (early) mobilisation in intensive care units : Insights from the current S3 guideline].

IF 1.5 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Linus O Warner, Ligia C Fonseca Höflinger, Stefan J Schaller, Carsten Hermes
{"title":"[Positioning therapy and (early) mobilisation in intensive care units : Insights from the current S3 guideline].","authors":"Linus O Warner, Ligia C Fonseca Höflinger, Stefan J Schaller, Carsten Hermes","doi":"10.1007/s00063-025-01303-7","DOIUrl":null,"url":null,"abstract":"<p><p>The S3 guideline \"Positioning therapy and mobilisation in critically ill patients in intensive care units\" replaces the S2e guideline on the prophylaxis and treatment of pulmonary dysfunctions. The 2023 updated version revised the evidence assessment based on the Oxford system and has integrated new scientific findings since 2015, formulated using specific PICO (P: population/patient/problem, I: intervention, C: comparison, O: outcome) questions. An amendment in 2024 corrected minor errors and updated the evidence assessment again. A central aspect is the differentiated approach to early mobilisation, which now explicitly recommends mobilisation within 72 h of ICU admission. Furthermore, new chapters on assistive devices and neuromuscular electrical stimulation have been added to outline additional therapeutic options for positioning therapy and mobilisation in critically ill patients.</p>","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":"614-623"},"PeriodicalIF":1.5000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00063-025-01303-7","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/31 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0

Abstract

The S3 guideline "Positioning therapy and mobilisation in critically ill patients in intensive care units" replaces the S2e guideline on the prophylaxis and treatment of pulmonary dysfunctions. The 2023 updated version revised the evidence assessment based on the Oxford system and has integrated new scientific findings since 2015, formulated using specific PICO (P: population/patient/problem, I: intervention, C: comparison, O: outcome) questions. An amendment in 2024 corrected minor errors and updated the evidence assessment again. A central aspect is the differentiated approach to early mobilisation, which now explicitly recommends mobilisation within 72 h of ICU admission. Furthermore, new chapters on assistive devices and neuromuscular electrical stimulation have been added to outline additional therapeutic options for positioning therapy and mobilisation in critically ill patients.

[重症监护病房的定位治疗和(早期)动员:来自当前S3指南的见解]。
S3指南“重症监护病房危重病人的定位治疗和活动”取代了S2e指南关于肺功能障碍的预防和治疗。2023年的更新版本根据牛津系统修订了证据评估,并整合了2015年以来的新科学发现,使用特定的PICO (P:人群/患者/问题,I:干预,C:比较,O:结果)问题制定。2024年的修订修正了一些小错误,并再次更新了证据评估。一个核心方面是早期动员的差异化方法,现在明确建议在ICU入院后72 h内动员。此外,还增加了关于辅助装置和神经肌肉电刺激的新章节,概述了危重患者定位治疗和活动的额外治疗选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
2.60
自引率
9.10%
发文量
93
审稿时长
6-12 weeks
期刊介绍: Medizinische Klinik – Intensivmedizin und Notfallmedizin is an internationally respected interdisciplinary journal. It is intended for physicians, nurses, respiratory and physical therapists active in intensive care and accident/emergency units, but also for internists, anesthesiologists, surgeons, neurologists, and pediatricians with special interest in intensive care medicine. Comprehensive reviews describe the most recent advances in the field of internal medicine with special focus on intensive care problems. Freely submitted original articles present important studies in this discipline and promote scientific exchange, while articles in the category Photo essay feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. In the rubric journal club well-respected experts comment on outstanding international publications. Review articles under the rubric "Continuing Medical Education" present verified results of scientific research and their integration into daily practice. The rubrics "Nursing practice" and "Physical therapy" round out the information.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信