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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Main Authors: Renato Fraga Righetti, Mirian Akemi Onoue, Flavia Vanessa Aurea Politi, Débora Trigo Teixeira, Patricia Nery de Souza, Claudia Seiko Kondo, Eliana Vieira Moderno, Igor Gutierrez Moraes, Ana Lígia Vasconcellos Maida, Laerte Pastore Junior, Felipe Duarte Silva, Christina May Moran de Brito, Wania Regina Mollo Baia, Wellington Pereira Yamaguti
Format: Article
Language:English
Published: Elsevier España 2020-06-01
Series:Clinics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322020000100416&tlng=en
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author Renato Fraga Righetti
Mirian Akemi Onoue
Flavia Vanessa Aurea Politi
Débora Trigo Teixeira
Patricia Nery de Souza
Claudia Seiko Kondo
Eliana Vieira Moderno
Igor Gutierrez Moraes
Ana Lígia Vasconcellos Maida
Laerte Pastore Junior
Felipe Duarte Silva
Christina May Moran de Brito
Wania Regina Mollo Baia
Wellington Pereira Yamaguti
author_facet Renato Fraga Righetti
Mirian Akemi Onoue
Flavia Vanessa Aurea Politi
Débora Trigo Teixeira
Patricia Nery de Souza
Claudia Seiko Kondo
Eliana Vieira Moderno
Igor Gutierrez Moraes
Ana Lígia Vasconcellos Maida
Laerte Pastore Junior
Felipe Duarte Silva
Christina May Moran de Brito
Wania Regina Mollo Baia
Wellington Pereira Yamaguti
author_sort Renato Fraga Righetti
collection DOAJ
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 doaj.art-8ba90bd1334e431d9e33119d92fcf3f82022-12-22T02:46:31ZengElsevier EspañaClinics1980-53222020-06-017510.6061/clinics/2020/e2017Physiotherapy Care of Patients with Coronavirus Disease 2019 (COVID-19) - A Brazilian ExperienceRenato Fraga Righettihttps://orcid.org/0000-0001-6234-1458Mirian Akemi OnoueFlavia Vanessa Aurea PolitiDébora Trigo TeixeiraPatricia Nery de SouzaClaudia Seiko KondoEliana Vieira ModernoIgor Gutierrez MoraesAna Lígia Vasconcellos MaidaLaerte Pastore JuniorFelipe Duarte SilvaChristina May Moran de BritoWania Regina Mollo BaiaWellington Pereira Yamagutihttps://orcid.org/0000-0003-4943-2085Some 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322020000100416&tlng=enCOVID-19PhysiotherapyMechanical VentilationOxygen TherapySevere Acute Respiratory Syndrome Coronavirus 2
spellingShingle Renato Fraga Righetti
Mirian Akemi Onoue
Flavia Vanessa Aurea Politi
Débora Trigo Teixeira
Patricia Nery de Souza
Claudia Seiko Kondo
Eliana Vieira Moderno
Igor Gutierrez Moraes
Ana Lígia Vasconcellos Maida
Laerte Pastore Junior
Felipe Duarte Silva
Christina May Moran de Brito
Wania Regina Mollo Baia
Wellington Pereira Yamaguti
Physiotherapy Care of Patients with Coronavirus Disease 2019 (COVID-19) - A Brazilian Experience
Clinics
COVID-19
Physiotherapy
Mechanical Ventilation
Oxygen Therapy
Severe Acute Respiratory Syndrome Coronavirus 2
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 COVID-19
Physiotherapy
Mechanical Ventilation
Oxygen Therapy
Severe Acute Respiratory Syndrome Coronavirus 2
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322020000100416&tlng=en
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