Unanticipated demand of Physiotherapist-Deployed Airway Clearance during the COVID-19 Surge 2020 a single centre report

Bronchial secretion management was not an anticipated clinical problem in patients intubated and ventilated with COVID-19. Yet 63 (62%) of our intubated and ventilated patients demonstrated a moderate or greater sputum load, as recorded by physiotherapists on 5 or more days of the patient's ICU...

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Detalles Bibliográficos
Autores principales: Black, Claire, Klapaukh, Roman, Gordon, Alison, Scott, Francesca, Holden, Nina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Chartered Society of Physiotherapy. Published by Elsevier Ltd. 2021
Materias:
Short Communication
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7980518/
https://www.ncbi.nlm.nih.gov/pubmed/34597901
http://dx.doi.org/10.1016/j.physio.2021.03.010
Descripción
Sumario:Bronchial secretion management was not an anticipated clinical problem in patients intubated and ventilated with COVID-19. Yet 63 (62%) of our intubated and ventilated patients demonstrated a moderate or greater sputum load, as recorded by physiotherapists on 5 or more days of the patient's ICU stay. The efficacy of airway clearance in these patients was further compounded by ineffective or absent cough and increased secretion tenacity, dramatically increasing the workload of critical care physiotherapists. We provide data to support the modelling of critical care physiotherapy staffing for future COVID-19 surges.

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