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Case Report: A Rehabilitation Practice Report During ICU Management for a Patient With Multiple Disabilities Due to COVID-19 Pneumonia and COPD
Patients with severe coronavirus disease (COVID-19) and admitted to the intensive care unit (ICU) are at high risk of developing ICU-acquired weakness and disuse syndrome. Although their medical management may include prolonged deep sedation for pulmonary protection and ventilator management, we aim...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8274657/ https://www.ncbi.nlm.nih.gov/pubmed/34262919 http://dx.doi.org/10.3389/fmed.2021.692898 |
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author | Kinoshita, Tokio Kouda, Ken Umemoto, Yasunori Yasuoka, Yoshinori Minoshima, Yuta Mikami, Yukio Nishimura, Yukihide Miyamoto, Kyohei Kato, Seiya Tajima, Fumihiro |
author_facet | Kinoshita, Tokio Kouda, Ken Umemoto, Yasunori Yasuoka, Yoshinori Minoshima, Yuta Mikami, Yukio Nishimura, Yukihide Miyamoto, Kyohei Kato, Seiya Tajima, Fumihiro |
author_sort | Kinoshita, Tokio |
collection | PubMed |
description | Patients with severe coronavirus disease (COVID-19) and admitted to the intensive care unit (ICU) are at high risk of developing ICU-acquired weakness and disuse syndrome. Although their medical management may include prolonged deep sedation for pulmonary protection and ventilator management, we aim for early mobilization of these patients with COVID-19. We present the case of a 71-year-old man with chronic obstructive pulmonary disease (COPD) and COVID-19 pneumonia. Passive range of motion training and sitting on the edge of the bed were started in the ICU while the patient was under deep sedation. His activities of daily living eventually improved to where he could independently walk to the toilet without respiratory distress. Patients with severe COVID-19 who require mechanical ventilation are at risk of muscle weakness and exercise intolerance. These patients require rehabilitation therapy, beginning in the acute phase of illness, to recover their physical function. Although validation with a larger cohort is necessary, our results suggest that patients with COPD and COVID-19 pneumonia should undergo rehabilitation concurrently with status-driven changes in respiratory management. |
format | Online Article Text |
id | pubmed-8274657 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-82746572021-07-13 Case Report: A Rehabilitation Practice Report During ICU Management for a Patient With Multiple Disabilities Due to COVID-19 Pneumonia and COPD Kinoshita, Tokio Kouda, Ken Umemoto, Yasunori Yasuoka, Yoshinori Minoshima, Yuta Mikami, Yukio Nishimura, Yukihide Miyamoto, Kyohei Kato, Seiya Tajima, Fumihiro Front Med (Lausanne) Medicine Patients with severe coronavirus disease (COVID-19) and admitted to the intensive care unit (ICU) are at high risk of developing ICU-acquired weakness and disuse syndrome. Although their medical management may include prolonged deep sedation for pulmonary protection and ventilator management, we aim for early mobilization of these patients with COVID-19. We present the case of a 71-year-old man with chronic obstructive pulmonary disease (COPD) and COVID-19 pneumonia. Passive range of motion training and sitting on the edge of the bed were started in the ICU while the patient was under deep sedation. His activities of daily living eventually improved to where he could independently walk to the toilet without respiratory distress. Patients with severe COVID-19 who require mechanical ventilation are at risk of muscle weakness and exercise intolerance. These patients require rehabilitation therapy, beginning in the acute phase of illness, to recover their physical function. Although validation with a larger cohort is necessary, our results suggest that patients with COPD and COVID-19 pneumonia should undergo rehabilitation concurrently with status-driven changes in respiratory management. Frontiers Media S.A. 2021-06-28 /pmc/articles/PMC8274657/ /pubmed/34262919 http://dx.doi.org/10.3389/fmed.2021.692898 Text en Copyright © 2021 Kinoshita, Kouda, Umemoto, Yasuoka, Minoshima, Mikami, Nishimura, Miyamoto, Kato and Tajima. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Medicine Kinoshita, Tokio Kouda, Ken Umemoto, Yasunori Yasuoka, Yoshinori Minoshima, Yuta Mikami, Yukio Nishimura, Yukihide Miyamoto, Kyohei Kato, Seiya Tajima, Fumihiro Case Report: A Rehabilitation Practice Report During ICU Management for a Patient With Multiple Disabilities Due to COVID-19 Pneumonia and COPD |
title | Case Report: A Rehabilitation Practice Report During ICU Management for a Patient With Multiple Disabilities Due to COVID-19 Pneumonia and COPD |
title_full | Case Report: A Rehabilitation Practice Report During ICU Management for a Patient With Multiple Disabilities Due to COVID-19 Pneumonia and COPD |
title_fullStr | Case Report: A Rehabilitation Practice Report During ICU Management for a Patient With Multiple Disabilities Due to COVID-19 Pneumonia and COPD |
title_full_unstemmed | Case Report: A Rehabilitation Practice Report During ICU Management for a Patient With Multiple Disabilities Due to COVID-19 Pneumonia and COPD |
title_short | Case Report: A Rehabilitation Practice Report During ICU Management for a Patient With Multiple Disabilities Due to COVID-19 Pneumonia and COPD |
title_sort | case report: a rehabilitation practice report during icu management for a patient with multiple disabilities due to covid-19 pneumonia and copd |
topic | Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8274657/ https://www.ncbi.nlm.nih.gov/pubmed/34262919 http://dx.doi.org/10.3389/fmed.2021.692898 |
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