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ISSN: 2637-6679

Research and Reviews on Healthcare: Open Access Journal

Review Article(ISSN: 2637-6679)

Rehabilitation Needs of Patients with Covid-19 in Acute Phase

Volume 5 - Issue 1

Marina Garofano1*, Matteo Maria Ascoli1, Roberta Palumbo2 and Mariaconsiglia Calabrese3

  • Author Information Open or Close
    • 1PT, MSc student - Società Italiana Fisioterapia e Riabilitazione (S.I.Fi.R.), Italy
    • 2PT, MSc - Società Italiana Fisioterapia e Riabilitazione (S.I.Fi.R.), Italy
    • 3PT, PhD - President Società Italiana Fisioterapia e Riabilitazione (S.I.Fi.R.), Italy; Physiotherapy Degree Course, Departmentof Medicine, Surgery and Dentistry, University of Salerno, S.Allende Street, 81, 84081 Baronissi, Italy

    *Corresponding author: Marina Garofano, Società Italiana Fisioterapia e Riabilitazione (S.I.Fi.R.), Via Alessandro Rossi 114, 80056 Ercolano (NA), Italy

Received: April 23, 2020;   Published: April 29, 2020

DOI: 10.32474/RRHOAJ.2020.05.000204

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Abstract

Background: COVID-19 (Coronavirus Disease 19) is a viral infection caused by SARS-Cov-2, that primarily affects the lower respiratory tract and causes several symptoms described as flu-like. Treatment of the disease generally consists of managing clinical symptoms and in case of more severe complications, patients require to be transfer to Intensive Care Units (ICU). Since this type of infection is extremely recent, there are only few studies on the rehabilitation of patients with COVID-19.

Materials and Methods: Papers were identified via a search of PubMed, Scopus and Pedro databases, in order to analyze the role of the physiotherapist in the intensive care units, in the management of non-invasive ventilation (NIV), not forgetting the risk of infection for healthcare professionals.

Conclusion: The analysis of literature carried out shows the importance of the physiotherapists in the management of critically ill patients in the ICU. Key goal of physiotherapy in ICU is the quality of long-term recovery, rather than short-term survival, and physiotherapists play a valuable role in achieving this goal. Finally, in the case of airway infections, the use of Personal Protective Equipment (PPE) should not be overlooked, especially because physiotherapeutic procedures generating aerosols are at high risk of transmission for infections.

Keywords: Physiotherapy; Physiotherapist; Covid-19; Coronavirus; Pulmonary rehabilitation; Chest physiotherapy; Intensive care unit

Abbreviation: ACBT: Active Cycle of Breathing Techniques; BIPAP: Biphasic Positive Airway Pressure; CPAP: Continuous Positive Airway Pressure; ECMO: Extra Corporeal Membrane Oxygenation; ICU: Intensive Care Unit; ILD: Interstitial lung diseases; MERS: Middle East respiratory syndrome; NIV: Non Invasive Ventilation; PPE: Personal Protective Equipment; PEP: Positive Expiratory Pressure; RICU: Respiratory Intensive Care Units; SARS: Severe Acute Respiratory Syndrome; MHI: Manual hyperinflation; PICS: Post-Intensive Care Syndrome

Abstract| Introduction| Literature Analysis| Conclusion| Acknowledgements| Conflict of Interest| References|

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