Publications by authors named "A Kaltwasser"

A scientific panel was created consisting of 23 interdisciplinary and interprofessional experts in intensive care medicine, physiotherapy, nursing care, surgery, rehabilitative medicine, and pneumology delegated from scientific societies together with a patient representative and a delegate from the Association of the Scientific Medical Societies who advised methodological implementation. The guideline was created according to the German Association of the Scientific Medical Societies (AWMF), based on The Appraisal of Guidelines for Research and Evaluation (AGREE) II. The topics of (early) mobilisation, neuromuscular electrical stimulation, assist devices for mobilisation, and positioning, including prone positioning, were identified as areas to be addressed and assigned to specialist expert groups, taking conflicts of interest into account.

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Background: Increasing pressure on limited intensive care capacities often requires a subjective assessment of a patient's discharge readiness in the absence of established Admission, Discharge, and Transfer (ADT) guidelines. To avoid suboptimal care transitions, it is important to define clear guidelines for the admission and discharge of intensive care patients and to optimize transfer processes between the intensive care unit (ICU) and lower care levels. To achieve these goals, structured insights into usual ICU discharge and transfer practices are essential.

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Background: Endotracheal suctioning in intubated or tracheotomized critically ill patients is a daily task of various professional groups in intensive and emergency medicine; however, a German language summary of current evidence is lacking.

Objective: The aim is to develop a narrative overview of current evidence on endotracheal suctioning of intubated or tracheotomized patients in the clinical setting.

Material And Methods: A literature search was conducted in the databases Cinahl, Cochrane Library, Livivo, and Medline via PubMed by nurses with an academic degree.

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Article Synopsis
  • - The advancements in treating abdominal aortic aneurysms over the last 15 years have led to the need for a reassessment of the quality assurance guidelines for nursing personnel training in intensive care in Germany, which currently mandates a 50% specialist training quota that lacks empirical backing.
  • - A diverse group of 37 experts participated in a modified Delphi process involving literature searches, surveys, and discussions to assess and redefine training quotas for nursing staff, ultimately reaching a consensus.
  • - The expert panel recommended lowering the required specialist training quota to 30% and emphasized the need for structured programs to maintain and elevate nursing staff qualifications in intensive care units managing abdominal aortic aneurysms.
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