Physiotherapy Care of Patients with Coronavirus Disease 2019 (COVID-19) - A Brazilian Experience

Overview

Journal Clinics (Sao Paulo)

Publisher Elsevier

Specialty General Medicine

Date 2020 Jun 25

PMID 32578825

Citations 26

Authors

Renato Fraga Righetti

Mirian Akemi Onoue

Flavia Vanessa Aurea Politi

Debora Trigo Teixeira

Patricia Nery de Souza

Claudia Seiko Kondo

Eliana Vieira Moderno

Igor Gutierrez Moraes

Ana Ligia Vasconcellos Maida

Laerte Pastore Junior

Felipe Duarte Silva

Christina May Moran de Brito

Wania Regina Mollo Baia

Wellington Pereira Yamaguti

Affiliations

Soon will be listed here.

Abstract

Some patients with coronavirus disease (COVID-19) present with severe acute respiratory syndrome, which causes multiple organ dysfunction, besides dysfunction of the respiratory system, that requires invasive procedures. On the basis of the opinions of front-line experts and a review of the relevant literature on several topics, we proposed clinical practice recommendations on the following aspects for physiotherapists facing challenges in treating patients and containing virus spread: 1. personal protective equipment, 2. conventional chest physiotherapy, 3. exercise and early mobilization, 4. oxygen therapy, 5. nebulizer treatment, 6. non-invasive ventilation and high-flow nasal oxygen, 7. endotracheal intubation, 8. protective mechanical ventilation, 9. management of mechanical ventilation in severe and refractory cases of hypoxemia, 10. prone positioning, 11. cuff pressure, 12. tube and nasotracheal suction, 13. humidifier use for ventilated patients, 14. methods of weaning ventilated patients and extubation, and 15. equipment and hand hygiene. These recommendations can serve as clinical practice guidelines for physiotherapists. This article details the development of guidelines on these aspects for physiotherapy of patients with COVID-19.

Citing Articles

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Minko A, Turon-Skrzypinska A, Ryl A, Mankowska K, Cymbaluk-Ploska A, Rotter I Biomedicines. 2024; 12(9).

PMID: 39335569 PMC: 11429050. DOI: 10.3390/biomedicines12092055.

Safety and Efficacy of Incentive Spirometer in Covid-19 Pneumonia; a Randomized Clinical Trial.

Bargahi M, Alavi-Moghaddam M, Karimi M, Azizan Z, Jafarzadeh F, Javaherian M Arch Acad Emerg Med. 2024; 12(1):e51.

PMID: 39296521 PMC: 11408993. DOI: 10.22037/aaem.v12i1.2244.

Clinical practice guidelines and expert consensus statements on rehabilitation for patients with COVID-19: a systematic review.

Zhang Y, Li Y, Zhong D, Li H, Liu X, Tang W BMJ Open. 2024; 14(9):e086301.

PMID: 39260851 PMC: 11409320. DOI: 10.1136/bmjopen-2024-086301.

Impacts of COVID-19 pandemic prevention measures to the palliative care in Taiwan.

Wu M, Hsiaog S, Huang T, Chu D, Liu C Front Public Health. 2024; 12:1411185.

PMID: 39118972 PMC: 11309006. DOI: 10.3389/fpubh.2024.1411185.

[Repercussions of the COVID-19 pandemic on health services for people with disabilities: report from rehabilitation professionals].

Silva S, Reichenberger V, Vieira G, Clemente K, Ramos V, Brito C Cad Saude Publica. 2023; 39(6):e00223822.

PMID: 37377301 PMC: 10494701. DOI: 10.1590/0102-311XPT223822.

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