Outcomes of a functional rehabilitation protocol in chronic critical disease by COVID-19: A case report (original) (raw)
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Pulmonary Rehabilitation of a Critically Ill Patient with Severe COVID-19: A Case Report
Acta Medica Philippina, 2022
Coronavirus 19 disease (COVID-19) is an infectious disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This is a case of a previously healthy 61-year-old man who presented to the emergency department with progressive dyspnea and a confirmed COVID-19 test, who was critically ill with severe acute respiratory distress syndrome. The principles of pulmonary rehabilitation were implemented starting from the sixth hospital day (time of referral from the intensive care unit) until he was transferred to a non-COVID ward and discharged. The patient participated in six treatment sessions while admitted, with each session lasting nearly 30 minutes. His Barthel index score improved from 0 (total dependence) to 85/100 (modified independence), with improvements in pulmonary secretions, shortness of breath, rate of perceived exertion, muscle strength, and endurance. He was able to return to work after three months. The application of the principles of pulmonary reha...
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Post-acute COVID-19 symptoms impact the quality of life, and pulmonary rehabilitation is recommended. This study explored the implementation, outcomes, and barriers of such programs for severe and critical COVID-19 survivors, focusing on improving respiratory function. Articles search was conducted from October to November 2021 through Google Scholar and PubMed databases. Pulmonary rehabilitation programs in severe and critical cases of COVID-19 survivors have a similar purpose in other respiratory cases. Pulmonary rehabilitation programs, including breathing, resistance, stretching, cardiorespiratory endurance exercises, respiratory physiotherapy, relaxation techniques, and education, significantly improved lung function and reduced symptoms. No studies exploring barriers to pulmonary rehabilitation were found. In conclusion, pulmonary rehabilitation programs for COVID-19 survivors with severe and critical cases have improved respiratory functions.
Turkish Journal of Physical Medicine and Rehabilitation
Coronavirus disease 2019 (COVID-19) is a contagious infection disease, which may cause respiratory, physical, psychological, and generalized systemic dysfunction. The severity of disease ranges from an asymptomatic infection or mild illness to mild or severe pneumonia with respiratory failure and/or death. COVID-19 dramatically affects the pulmonary system. This clinical practice guideline includes pulmonary rehabilitation (PR) recommendations for adult COVID-19 patients and has been developed in the light of the guidelines on the diagnosis and treatment of COVID-19 provided by the World Health Organization and Republic of Turkey, Ministry of Health, recently published scientific literature, and PR recommendations for COVID-19 regarding basic principles of PR. This national guideline provides suggestions regarding the PR methods during the clinical stages of COVID-19 and post-COVID-19 with its possible benefits, contraindications, and disadvantages.
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Objectives The primary objective of the presented study is to analyze the respiratory and functional effects of a rehabilitation program in patients affected by hospitalization in Intensive Care Unit (ICU) due to COVID-19, in comparison with the group treated with standard of care, at discharge endpoint. The secondary objectives of the presented study are to evaluate different outcomes of the rehabilitation program in comparison to standard of care regarding: functional performance at 4-week and 12-week post- discharge mark; health-related quality of life, the impact on the health services (namely days of hospitalization), the cost-effectiveness of the intervention proposed. Trial design This is a randomized, controlled, double-blind, double-arm clinical trial of treatment, with an allocation ratio 1:1 and framework of superiority. Participants The study will be conducted at Centro Hospitalar Entre Douro e Vouga, Santa Maria da Feira, Portugal. Potential participants will be adult p...
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The treatment of an infectious disease is only one step to a cure and, in many cases, infectious diseases can lead to short-and long-term impairments, including physical, cognitive and psycho-emotional complications. In this paper, we perform a literature review to identify the appropriate rehabilitation interventions for responding to COVID-19 consequences, taking into consideration the current standards for pulmonary rehabilitation and the COVID-19 literature which has been developed during the pandemic’s evolution. Pulmonary, neurological, cardiac, musculoskeletal, nutritional, cognitive and psychological disabilities, as well as dysphasia, have been observed among patients who recovered after needing time in the intensive care unit (ICU), related either directly to COVID-19 or critical care treatments. Some have also been reported in patients who were asymptomatic or recovered from a mild or moderate form of the disease. Patients who still have dyspnea, exercise intolerance and ...
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At present, coronavirus disease 2019 (COVID-19) is raging around the world. In Spain, the percentage of intensive care unit (ICU) patients is very high, as well as the mortality rate. This article discusses a 38-year-old woman admitted to the ICU for acute respiratory failure secondary to SARS-CoV-2 infection. Early physiotherapy improved lung secretion removal, respiratory mechanics outcomes, gas exchange, and muscle strength without adverse effects. Regarding the lack of information about physiotherapy effects in this context, these data are essential to demonstrate the feasibility of early physiotherapy in such patients who are young as well as older.
Turkish Journal of Physical Medicine and Rehabilitation
Intensive care unit-acquired weakness (ICU-AW) is a catastrophic and debilitating clinical condition that causes generalized weakness and predisposes to adverse short-and long-term outcomes. Novel coronavirus disease-2019 (COVID-19) has been a global pandemic since November 2019. Each additional ICU admission for COVID-19 stresses intensive care unit (ICU) and hospital capacity. Accurately designed, timely rehabilitation procedures may reduce the patient burden of ICUs and hospitals. In this article, we describe a COVID-19 survivor who developed acute respiratory distress syndrome (ARDS) and ICU-AW. Early pulmonary rehabilitation in the ICU and long-term rehabilitation maintenance after the ICU and hospital discharge resulted in a positive outcome.
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At the end of 2019, Severe Acute Respiratory Syndrome (SARS) of coronavirus 2SARS-CoV-2) emerged in Wuhan, Hubei Province, China, and infected over 16 million people around the world. Individuals with coronavirus disease 2019 (COVID-19) have an influenza-like illness and respiratory tract infections. We can categorize patients in three main groups: asymptomatic infected cases, patients with mild upper respiratory tract illness, and patients with severe viral pneumonia with respiratory failure. According to reports, almost 80% of cases are asymptomatic or show mild symptoms, 15% have severe symptoms, and the other 5% are critical cases requiring ventilation and life support.
Topics in Geriatric Rehabilitation, 2020
At present, coronavirus disease 2019 (COVID-19) is raging around the world. In Spain, the percentage of intensive care unit (ICU) patients is very high, as well as the mortality rate. This article discusses a 38-year-old woman admitted to the ICU for acute respiratory failure secondary to SARS-CoV-2 infection. Early physiotherapy improved lung secretion removal, respiratory mechanics outcomes, gas exchange, and muscle strength without adverse effects. Regarding the lack of information about physiotherapy effects in this context, these data are essential to demonstrate the feasibility of early physiotherapy in such patients who are young as well as older.