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

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...

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Autores principales: Righetti, Renato Fraga, Onoue, Mirian Akemi, Politi, Flavia Vanessa Aurea, Teixeira, Débora Trigo, de Souza, Patricia Nery, Kondo, Claudia Seiko, Moderno, Eliana Vieira, Moraes, Igor Gutierrez, Maida, Ana Lígia Vasconcellos, Pastore, Laerte, Silva, Felipe Duarte, de Brito, Christina May Moran, Baia, Wania Regina Mollo, Yamaguti, Wellington Pereira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade de Medicina / USP 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297520/
https://www.ncbi.nlm.nih.gov/pubmed/32578825
http://dx.doi.org/10.6061/clinics/2020/e2017
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author Righetti, Renato Fraga
Onoue, Mirian Akemi
Politi, Flavia Vanessa Aurea
Teixeira, Débora Trigo
de Souza, Patricia Nery
Kondo, Claudia Seiko
Moderno, Eliana Vieira
Moraes, Igor Gutierrez
Maida, Ana Lígia Vasconcellos
Pastore, Laerte
Silva, Felipe Duarte
de Brito, Christina May Moran
Baia, Wania Regina Mollo
Yamaguti, Wellington Pereira
author_facet Righetti, Renato Fraga
Onoue, Mirian Akemi
Politi, Flavia Vanessa Aurea
Teixeira, Débora Trigo
de Souza, Patricia Nery
Kondo, Claudia Seiko
Moderno, Eliana Vieira
Moraes, Igor Gutierrez
Maida, Ana Lígia Vasconcellos
Pastore, Laerte
Silva, Felipe Duarte
de Brito, Christina May Moran
Baia, Wania Regina Mollo
Yamaguti, Wellington Pereira
author_sort Righetti, Renato Fraga
collection PubMed
description 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.
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spelling pubmed-72975202020-06-29 Physiotherapy Care of Patients with Coronavirus Disease 2019 (COVID-19) - A Brazilian Experience Righetti, Renato Fraga Onoue, Mirian Akemi Politi, Flavia Vanessa Aurea Teixeira, Débora Trigo de Souza, Patricia Nery Kondo, Claudia Seiko Moderno, Eliana Vieira Moraes, Igor Gutierrez Maida, Ana Lígia Vasconcellos Pastore, Laerte Silva, Felipe Duarte de Brito, Christina May Moran Baia, Wania Regina Mollo Yamaguti, Wellington Pereira Clinics (Sao Paulo) Review Article 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. Faculdade de Medicina / USP 2020-06-16 2020 /pmc/articles/PMC7297520/ /pubmed/32578825 http://dx.doi.org/10.6061/clinics/2020/e2017 Text en Copyright © 2020 CLINICS http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.
spellingShingle Review Article
Righetti, Renato Fraga
Onoue, Mirian Akemi
Politi, Flavia Vanessa Aurea
Teixeira, Débora Trigo
de Souza, Patricia Nery
Kondo, Claudia Seiko
Moderno, Eliana Vieira
Moraes, Igor Gutierrez
Maida, Ana Lígia Vasconcellos
Pastore, Laerte
Silva, Felipe Duarte
de Brito, Christina May Moran
Baia, Wania Regina Mollo
Yamaguti, Wellington Pereira
Physiotherapy Care of Patients with Coronavirus Disease 2019 (COVID-19) - A Brazilian Experience
title Physiotherapy Care of Patients with Coronavirus Disease 2019 (COVID-19) - A Brazilian Experience
title_full Physiotherapy Care of Patients with Coronavirus Disease 2019 (COVID-19) - A Brazilian Experience
title_fullStr Physiotherapy Care of Patients with Coronavirus Disease 2019 (COVID-19) - A Brazilian Experience
title_full_unstemmed Physiotherapy Care of Patients with Coronavirus Disease 2019 (COVID-19) - A Brazilian Experience
title_short Physiotherapy Care of Patients with Coronavirus Disease 2019 (COVID-19) - A Brazilian Experience
title_sort physiotherapy care of patients with coronavirus disease 2019 (covid-19) - a brazilian experience
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297520/
https://www.ncbi.nlm.nih.gov/pubmed/32578825
http://dx.doi.org/10.6061/clinics/2020/e2017
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