Übersicht S3-Leitlinie Lagerungstherapie und Mobilisation von kritisch Erkrankten auf Intensivstationen

S. J. Schaller; J. J. Grunow; N. Daum; T. Bein; M. Blobner; U. Hamsen; C. Hermes; A. Kaltwasser; P. Nydahl; A. Reißhauer; L. Renzewitz; F. T. Scheffenbichler; K. Siemon; T. Staudinger; R. Ullrich; S. Weber-Carstens; H. Wrigge; D. Zergiebel; S. M. Coldewey

doi:10.19224/ai2025.126

Übersicht S3-Leitlinie Lagerungstherapie und Mobilisation von kritisch Erkrankten auf Intensivstationen

Translated title of the contribution: Overview of the S3 Guideline on positioning therapy and the mobilisation of critically ill patients at the ICU

S. J. Schaller, J. J. Grunow, N. Daum, T. Bein, M. Blobner, U. Hamsen, C. Hermes, A. Kaltwasser, P. Nydahl, A. Reißhauer, L. Renzewitz, F. T. Scheffenbichler, K. Siemon, T. Staudinger, R. Ullrich, S. Weber-Carstens, H. Wrigge, D. Zergiebel, S. M. Coldewey

Research output: Contribution to journal › Review article › peer-review

Abstract

Medical professional societies were requested to nominate experts in order to establish an S3 guideline group according to the regulations of the Association of the Scientific Medical Societies in Germany (AWMF). The interdisciplinary and inter-professional guideline group plus junior scientists were joined by a representative of the patients as well as a representative of the AWMF who supported the methodical realisation with her advice. Creation of the guideline proceeded in conformity with the provisions made by the AWMF and was based on the evaluation framework Appraisal of Guidelines for Research and Evaluation (AGREE) II. (Early) mobilisation, neuromuscular electrical stimulation, mobilisation aids and body positioning, including a prone position, were identified as central subjects and dealt with by the respective specializing expert groups. Potential conflicts of interest were carefully taken into consideration. The panel developed PICO questions (population, intervention, comparison groups and outcomes), conducted a systematic literature search including screening procedures and full text analyses and created summary tables based on the results. Evidence assessment was in conformity with the criteria of the Oxford Centre for Evidence-Based Medicine (2011), supplemented by a risk of bias analysis. The final recommendations were formulated in accordance with the GRADE standards and agreed upon in a multi-layer consensus procedure which comprised an online Delphi process and a concluding hybrid consensus conference. The original German version of the guideline has been authorised by the professional societies concerned and published by the AWMF. The literature survey of the current version has been updated to include April 2024 and the recommendations have been adjusted on the basis of the new knowledge gained from both systematic review publications and randomised control studies. Altogether, 46 recommendations have been elaborated, existing research gaps have also been identified.

Translated title of the contribution	Overview of the S3 Guideline on positioning therapy and the mobilisation of critically ill patients at the ICU
Original language	German
Pages (from-to)	126-139
Number of pages	14
Journal	Anasthesiologie und Intensivmedizin
Volume	66
Issue number	3
DOIs	https://doi.org/10.19224/ai2025.126
State	Published - Mar 2025
Externally published	Yes

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10.19224/ai2025.126

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Schaller, S. J., Grunow, J. J., Daum, N., Bein, T., Blobner, M., Hamsen, U., Hermes, C., Kaltwasser, A., Nydahl, P., Reißhauer, A., Renzewitz, L., Scheffenbichler, F. T., Siemon, K., Staudinger, T., Ullrich, R., Weber-Carstens, S., Wrigge, H., Zergiebel, D., & Coldewey, S. M. (2025). Übersicht S3-Leitlinie Lagerungstherapie und Mobilisation von kritisch Erkrankten auf Intensivstationen. Anasthesiologie und Intensivmedizin, 66(3), 126-139. https://doi.org/10.19224/ai2025.126

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abstract = "Medical professional societies were requested to nominate experts in order to establish an S3 guideline group according to the regulations of the Association of the Scientific Medical Societies in Germany (AWMF). The interdisciplinary and inter-professional guideline group plus junior scientists were joined by a representative of the patients as well as a representative of the AWMF who supported the methodical realisation with her advice. Creation of the guideline proceeded in conformity with the provisions made by the AWMF and was based on the evaluation framework Appraisal of Guidelines for Research and Evaluation (AGREE) II. (Early) mobilisation, neuromuscular electrical stimulation, mobilisation aids and body positioning, including a prone position, were identified as central subjects and dealt with by the respective specializing expert groups. Potential conflicts of interest were carefully taken into consideration. The panel developed PICO questions (population, intervention, comparison groups and outcomes), conducted a systematic literature search including screening procedures and full text analyses and created summary tables based on the results. Evidence assessment was in conformity with the criteria of the Oxford Centre for Evidence-Based Medicine (2011), supplemented by a risk of bias analysis. The final recommendations were formulated in accordance with the GRADE standards and agreed upon in a multi-layer consensus procedure which comprised an online Delphi process and a concluding hybrid consensus conference. The original German version of the guideline has been authorised by the professional societies concerned and published by the AWMF. The literature survey of the current version has been updated to include April 2024 and the recommendations have been adjusted on the basis of the new knowledge gained from both systematic review publications and randomised control studies. Altogether, 46 recommendations have been elaborated, existing research gaps have also been identified.",

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author = "Schaller, {S. J.} and Grunow, {J. J.} and N. Daum and T. Bein and M. Blobner and U. Hamsen and C. Hermes and A. Kaltwasser and P. Nydahl and A. Rei{\ss}hauer and L. Renzewitz and Scheffenbichler, {F. T.} and K. Siemon and T. Staudinger and R. Ullrich and S. Weber-Carstens and H. Wrigge and D. Zergiebel and Coldewey, {S. M.}",

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year = "2025",

month = mar,

doi = "10.19224/ai2025.126",

language = "Deutsch",

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Schaller, SJ, Grunow, JJ, Daum, N, Bein, T, Blobner, M, Hamsen, U, Hermes, C, Kaltwasser, A, Nydahl, P, Reißhauer, A, Renzewitz, L, Scheffenbichler, FT, Siemon, K, Staudinger, T, Ullrich, R, Weber-Carstens, S, Wrigge, H, Zergiebel, D & Coldewey, SM 2025, 'Übersicht S3-Leitlinie Lagerungstherapie und Mobilisation von kritisch Erkrankten auf Intensivstationen', Anasthesiologie und Intensivmedizin, vol. 66, no. 3, pp. 126-139. https://doi.org/10.19224/ai2025.126

TY - JOUR

T1 - Übersicht S3-Leitlinie Lagerungstherapie und Mobilisation von kritisch Erkrankten auf Intensivstationen

AU - Schaller, S. J.

AU - Grunow, J. J.

AU - Daum, N.

AU - Bein, T.

AU - Blobner, M.

AU - Hamsen, U.

AU - Hermes, C.

AU - Kaltwasser, A.

AU - Nydahl, P.

AU - Reißhauer, A.

AU - Renzewitz, L.

AU - Scheffenbichler, F. T.

AU - Siemon, K.

AU - Staudinger, T.

AU - Ullrich, R.

AU - Weber-Carstens, S.

AU - Wrigge, H.

AU - Zergiebel, D.

AU - Coldewey, S. M.

PY - 2025/3

Y1 - 2025/3

N2 - Medical professional societies were requested to nominate experts in order to establish an S3 guideline group according to the regulations of the Association of the Scientific Medical Societies in Germany (AWMF). The interdisciplinary and inter-professional guideline group plus junior scientists were joined by a representative of the patients as well as a representative of the AWMF who supported the methodical realisation with her advice. Creation of the guideline proceeded in conformity with the provisions made by the AWMF and was based on the evaluation framework Appraisal of Guidelines for Research and Evaluation (AGREE) II. (Early) mobilisation, neuromuscular electrical stimulation, mobilisation aids and body positioning, including a prone position, were identified as central subjects and dealt with by the respective specializing expert groups. Potential conflicts of interest were carefully taken into consideration. The panel developed PICO questions (population, intervention, comparison groups and outcomes), conducted a systematic literature search including screening procedures and full text analyses and created summary tables based on the results. Evidence assessment was in conformity with the criteria of the Oxford Centre for Evidence-Based Medicine (2011), supplemented by a risk of bias analysis. The final recommendations were formulated in accordance with the GRADE standards and agreed upon in a multi-layer consensus procedure which comprised an online Delphi process and a concluding hybrid consensus conference. The original German version of the guideline has been authorised by the professional societies concerned and published by the AWMF. The literature survey of the current version has been updated to include April 2024 and the recommendations have been adjusted on the basis of the new knowledge gained from both systematic review publications and randomised control studies. Altogether, 46 recommendations have been elaborated, existing research gaps have also been identified.

AB - Medical professional societies were requested to nominate experts in order to establish an S3 guideline group according to the regulations of the Association of the Scientific Medical Societies in Germany (AWMF). The interdisciplinary and inter-professional guideline group plus junior scientists were joined by a representative of the patients as well as a representative of the AWMF who supported the methodical realisation with her advice. Creation of the guideline proceeded in conformity with the provisions made by the AWMF and was based on the evaluation framework Appraisal of Guidelines for Research and Evaluation (AGREE) II. (Early) mobilisation, neuromuscular electrical stimulation, mobilisation aids and body positioning, including a prone position, were identified as central subjects and dealt with by the respective specializing expert groups. Potential conflicts of interest were carefully taken into consideration. The panel developed PICO questions (population, intervention, comparison groups and outcomes), conducted a systematic literature search including screening procedures and full text analyses and created summary tables based on the results. Evidence assessment was in conformity with the criteria of the Oxford Centre for Evidence-Based Medicine (2011), supplemented by a risk of bias analysis. The final recommendations were formulated in accordance with the GRADE standards and agreed upon in a multi-layer consensus procedure which comprised an online Delphi process and a concluding hybrid consensus conference. The original German version of the guideline has been authorised by the professional societies concerned and published by the AWMF. The literature survey of the current version has been updated to include April 2024 and the recommendations have been adjusted on the basis of the new knowledge gained from both systematic review publications and randomised control studies. Altogether, 46 recommendations have been elaborated, existing research gaps have also been identified.

KW - Critical Disease

KW - Early Mobilisation

KW - Intensive Medical Care

KW - Patient Positioning

KW - Physical Therapy Procedures

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M3 - Übersichtsartikel

AN - SCOPUS:86000567469

SN - 0170-5334

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JO - Anasthesiologie und Intensivmedizin

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ER -

Übersicht S3-Leitlinie Lagerungstherapie und Mobilisation von kritisch Erkrankten auf Intensivstationen

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