Rehabilitation and respiratory management in the acute and early post-acute phase "Instant paper from the field" on rehabilitation answers to the COVID-19 emergency
Rehabilitation and respiratory management in the acute and early post-acute phase "Instant paper from the field" on rehabilitation answers to the COVID-19 emergency
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DOI：
10.23736/s1973-9087.20.06305-4
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发表时间：
2020-06-01
影响因子：
4.5
通讯作者：
Negrini, Stefano
中科院分区：
文献类型：
--
作者：
Kiekens, Carlotte;Boldrini, Paolo;Negrini, Stefano
COVID-19是一种呼吸道传染病，可导致患者呼吸、身体和心理长期功能障碍。发布了第一批呼吸管理建议，但这些建议并非基于COVID-19的具体需求。在本文中，我们分享了早期经验，从临床领域的北方意大利，在那里的流行病开始在2月。本文总结了由意大利物理和康复医学学会组织的第二次COVID-19网络研讨会（230名现场与会者，11，600名录制版本的观众），内容涉及急性（重症监护室[ICU]）和急性期后即刻的康复，特别是呼吸管理。有必要为急性期后阶段做好准备。ICU住院时间相对较长，需俯卧位固定。一些具体的问题进行了说明。包括严重的肌无力和疲劳、关节僵硬、吞咽困难、（神经）心理问题、与活动、日常生活和工作活动有关的功能受损。正如我们从有关重症监护后综合征的文献中所知，许多情况尚不清楚，患者可能会经历长期后果，但COVID-19有其独特的特征需要研究和理解。正如一位同事在Covinar期间所说：这是一场马拉松，而不是短跑。
COVID-19 is a respiratory infectious disease that can cause respiratory, physical and psychological long-term dysfunctions in patients. First recommendations on respiratory management were published, but they were not based on the specific needs due to COVID-19. In this paper we share the early experiences from the clinical field in Northern Italy, where the epidemic started in February. This paper summarizes the second webinar on COVID-19 (230 live attendees, 11,600 viewers of the recorded version) organized by the Italian Society of Physical and Rehabilitation Medicine about rehabilitation and in particular respiratory management in the acute (Intensive Care Unit [ICU]) and immediate post-acute phases. There is the need to prepare for the post-acute phase. ICU length of stay is relatively long, with immobilization in prone position. Some specific problems are described. including severe muscle weakness and fatigue, joint stiffness, dysphagia, (neuro)psychological problems, impaired functioning concerning mobility, activities of daily life and work. A lot is yet unknown and patients can experience long-term consequences as we know from the literature on the postintensive care syndrome, but COVID-19 has unique features to be investigated and understood. As a colleague stated during the Covinar: this is a marathon, not a sprint....