Search results
Results from the WOW.Com Content Network
Elevating the head of your bed can help relieve snoring, sleep apnea, acid reflux, and supine hypertension or orthostatic hypotension. Bed risers are a good, inexpensive option, and there are products specially designed to raise one end of the bed.
The elevation of the head of bed (HOB) to a semirecumbent position (at least 30 degrees) is associated with a decreased incidence of aspiration and ventilator-associated pneumonia (VAP).
We included controlled trials comparing the effect of head-of-bed elevation interventions to control in adults with GORD. Two independent reviewers screened articles, extracted data, and assessed quality of included studies. Primary outcomes were changes in GORD symptoms and use of PPIs.
Head-of-bed elevation (HOBE), also known in clinical practice as Fowler’s position, is a standardized position in which the patient sleeps in a semi-sitting position (with a varying degree of bed–head elevation between 30° and 60°) [14, 15].
Background: Elevating the head of bed (HOB) to 30° to 45° is an evidence-based recommendation to prevent ventilator-associated pneumonia (VAP). However, the available scientific data are inconclusive regarding the optimal degree of HOB elevation which is safe and effective for mechanically ventilated patients.
In patients with closed head injury, the head of a patient’s bed should be elevated to 30 degrees at all times to reduce intracranial pressure (ICP) and maintain cerebral perfusion pressure (CPP).
Current guidelines suggest elevating the head of the bed between 30 and 45 degrees to minimize the risk of both pressure ulcers and pneumonia.
A group of 22 experts recommended elevating the head of the bed of mechanically ventilated patients to a 20 to 45° position and preferably to a ≥30° position as long as it does not pose risks or conflicts with other nursing tasks, medical interventions or patients' wishes.
For preventing VAP, a semi-recumbent position (i.e., elevation of the head of bed to 30–45°) has been extensively studied as a simple strategy for patients undergoing MV and is a recommendable measure in several clinical practice guidelines [8, 10,11,12].
Clinicians are confused by conflicting guidelines about the use of head-of-bed elevation to prevent aspiration and pressure ulcers in critically ill patients. Research-based information in support of guidelines for head-of-bed elevation to prevent either condition is limited.