Linus O Warner, Ligia C Fonseca Höflinger, Stefan J Schaller, Carsten Hermes
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[Positioning therapy and (early) mobilisation in intensive care units : Insights from the current S3 guideline].
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.
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.
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