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Guidelines for the practice and performance of manipulation under anesthesia
Robert Gordon, Edward Cremata, Cheryl Hawk1
1Logan University, 1851 Schoettler Rd 63017 Chesterfield, MO, USA. hawkcheryl@aol.com.
Chiropractic & Manual Therapies
|February 5, 2014
Summary
Guidelines for spinal manipulation under anesthesia were developed using an expert consensus process. This addresses the lack of evidence-based standards for patient selection and treatment protocols in chiropractic and manual therapy.
Area of Science:
- Chiropractic and Manual Therapy
- Anesthesiology
Background:
- Lack of established guidelines for manipulation under anesthesia (MUA).
- Existing evidence base for MUA is primarily low-level.
Purpose of the Study:
- Develop evidence-informed guidelines for MUA.
- Standardize patient selection and treatment protocols for MUA.
Main Methods:
- Expert consensus process utilizing the Delphi method.
- RAND-UCLA consensus process methodology.
- 15 panelists rated 43 statements over two rounds.
Main Results:
- Consensus reached on all 43 statements.
- Recommendations cover patient selection, diagnosis, treatment, follow-up, safety, and standards.
- Guidelines address all aspects of MUA practice.
Conclusions:
- High agreement achieved on evidence-informed recommendations for MUA.
- Established consensus-based guidelines for chiropractic and manual therapy MUA.
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