专家小组对重症患者定位和早期动员的指导方针
Stefan J Schaller1, Flora T Scheffenbichler2, Thomas Bein3
1Department of Anaesthesiology and Intensive Care Medicine (CCM/CVK), Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany. stefan.schaller@charite.de.
Intensive care medicine
|July 29, 2024
概括
本指南提供了基于证据的建议,用于早期动员和集中护理的定位. 它涉及关键干预措施,如神经肌肉电刺激和辅助设备,以改善患者的治疗结果.
科学领域:
- 密集护理医学 密集护理医学
- 康复医学 康复医学 康复医学
- 肺病学 肺病学 肺病学 肺病学
背景情况:
- 为重症监护室 (ICU) 患者管理制定基于证据的指导方针至关重要.
- 早期动员和适当的定位是重症监护的关键组成部分.
- 现有的指南需要根据最新的研究进行更新.
研究的目的:
- 制定全面的,基于证据的建议,用于早期动员和集中护理中的定位.
- 综合当前关于神经肌肉电刺激和辅助设备等干预措施的证据.
- 为重症监护机构的医疗保健专业人员提供指导.
主要方法:
- 一个由23名专家组成的多学科小组根据AWMF和AGREE II标准制定了指南.
- 使用了系统的文献审查,PICO问题制定和证据分级 (OCEBM 2011,GRADE).
- 通过在线Delphi流程和共识会议最终确定了建议,并将更新至2024年4月.
主要成果:
- 该指南包括46条关于早期动员,神经肌肉电刺激,辅助设备和定位 (包括倾斜定位) 的建议.
- 证据被分类,偏见风险被评估,研究差距被确定.
- 英语版本包含最新证据的更新系统审查.
结论:
- 本指南提供了最新的,基于证据的建议,以优化重症监护中的早期动员和定位策略.
- 这些建议旨在改善患者的康复和减少ICU中的并发症.
- 该指南涉及关键的干预领域,得到了强有力的科学证据的支持.
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