Chest physiotherapy: an important adjuvant in critically ill mechanically ventilated patients with COVID-19
Fecha
2020Autor
Battaglini, Denise
Robba, Chiara
Caiffa, Salvatore
Ball, Lorenzo
Brunetti, Iole
Loconte, Maurizio
Giacobbe, Daniele Roberto
Vena, Antonio
Patroniti, Nicoló
Bassetti, Matteo
Torres, Antoni
RM Rocco, Patricia
Pelosi, Paolo
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Resumen
In late 2019, an outbreak of a novel human coronavirus causing respiratory disease was identified in
Wuhan, China. The virus spread rapidly worldwide, reaching pandemic status. Chest computed
tomography scans of patients with coronavirus disease-2019 (COVID-19) have revealed different
stages of respiratory involvement, with extremely variable lung presentations, which require
individualized ventilatory strategies in those who become critically ill. Chest physiotherapy has
proven to be effective for improving long-term respiratory physical function among ICU survivors.
The ARIR recently reported the role of chest physiotherapy in the acute phase of COVID-19,
pointing out limitation of some procedures due to the limited experience with this disease in the
ICU setting. Evidence on the efficacy of chest physiotherapy in COVID-19 is still lacking. In this
line, the current review discusses the important role of chest physiotherapy in critically ill
mechanically ventilated patients with COVID-19, around the weaning process, and how it can be safely applied with careful organization, including the training of healthcare staff and the appropriate
use of personal protective equipment to minimize the risk of viral exposure.
Palabras clave
Chest physiotherapy; COVID-19; SARS-CoV-2; Mechanical ventilation; ExtubationEnlace al recurso
https://doi.org/10.1016/j.resp.2020.103529Colecciones
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