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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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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:
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
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author Black, Claire
Klapaukh, Roman
Gordon, Alison
Scott, Francesca
Holden, Nina
author_facet Black, Claire
Klapaukh, Roman
Gordon, Alison
Scott, Francesca
Holden, Nina
author_sort Black, Claire
collection PubMed
description 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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spelling pubmed-79805182021-03-23 Unanticipated demand of Physiotherapist-Deployed Airway Clearance during the COVID-19 Surge 2020 a single centre report Black, Claire Klapaukh, Roman Gordon, Alison Scott, Francesca Holden, Nina Physiotherapy Short Communication 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. Chartered Society of Physiotherapy. Published by Elsevier Ltd. 2021-12 2021-03-20 /pmc/articles/PMC7980518/ /pubmed/34597901 http://dx.doi.org/10.1016/j.physio.2021.03.010 Text en © 2021 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Short Communication
Black, Claire
Klapaukh, Roman
Gordon, Alison
Scott, Francesca
Holden, Nina
Unanticipated demand of Physiotherapist-Deployed Airway Clearance during the COVID-19 Surge 2020 a single centre report
title Unanticipated demand of Physiotherapist-Deployed Airway Clearance during the COVID-19 Surge 2020 a single centre report
title_full Unanticipated demand of Physiotherapist-Deployed Airway Clearance during the COVID-19 Surge 2020 a single centre report
title_fullStr Unanticipated demand of Physiotherapist-Deployed Airway Clearance during the COVID-19 Surge 2020 a single centre report
title_full_unstemmed Unanticipated demand of Physiotherapist-Deployed Airway Clearance during the COVID-19 Surge 2020 a single centre report
title_short Unanticipated demand of Physiotherapist-Deployed Airway Clearance during the COVID-19 Surge 2020 a single centre report
title_sort unanticipated demand of physiotherapist-deployed airway clearance during the covid-19 surge 2020 a single centre report
topic Short Communication
url 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
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