Why is raising the bed head by 30 degrees so important for critically ill patients? How to determine 30 °?

In the 8th Union Medical College Intensive Care and Hemodynamics Conference - "Essence and Breakthrough", nursing experts gave a special presentation on "bed head elevation of 30 °", indicating the high importance that industry insiders attach to patient posture care in ICUs. Posture care is an important aspect of clinical nursing work. Proper posture care plays an important role in treating diseases, alleviating symptoms, conducting various examinations, preventing diseases, and reducing pain.

Significant 30 °

Turning to the commonly used lying positions in "Basic Nursing", there are clear requirements for the following positions: a patient in a concave lying position should raise their head and chest by 10 ° -20 °, and their lower limbs by 20 ° -30 °; Raise the head of the bed in a semi seated position by 30 ° -50 °; Raise the head of the bed in an upright position by 70 ° -80 °, and raise the knee below by 15 ° -20 °; More studies have shown that maintaining a bedside angle of 30 ° -45 ° without contraindications in critically ill patients can reduce the incidence of ventilator-associated pneumonia (VAP).

The Centers for Disease Control and Prevention (CDC) in the United States recommends raising the head of the bed by 30 ° -45 ° as a routine nursing position for critically ill patients. Raising the head of the bed by 30 ° is beneficial for bedridden patients' breathing, and for patients receiving enteral nutrition through gastric tubes, it can also improve gastrointestinal peristalsis, reduce food reflux, and prevent aspiration; For critically ill mechanically ventilated patients, raising the head of the bed by 30 ° is an important measure to prevent ventilator-associated pneumonia (VAP). Positional care has been elevated to a higher position in the ICU and has a more special significance for the rehabilitation of patients.

How to determine 30 °?

However, how high is the bed head between 30 °and 45 °? This is the confusion of most nurses. Isn't it just raising the head of the bed?

The electric hospital bed of Pukang Medical ICU has a backboard lifting function, which can be adjusted between 0 and 70 degrees according to the needs of patients and clinical needs. At the same time, the first guardrail is equipped with an angle indicator, making it convenient for medical staff to view and set the backboard lifting angle.

Pukang Medical always adheres to the business philosophy of "being the cultivator of the medical and health industry", providing professional medical care solutions and providing humanized nursing services for patients and medical staff. At present, Pukang Medical has settled in more than 6000 hospitals nationwide, including Beijing Union Medical College Hospital and the General Hospital of the Chinese People's Liberation Army, and has provided health and care to patients and medical staff in more than 110 countries and regions worldwide.