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Feasibility and Efficacy of the Pulmonary Rehabilitation Program in a Rehabilitation Center
- Source :
- Journal of Cardiopulmonary Rehabilitation and Prevention. 40:205-208
- Publication Year :
- 2020
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2020.
-
Abstract
- DETAILS OF THE CLINICAL CASE: A 51-yr-old man underwent a respiratory rehabilitation program (RRP), after being tracheostomized and ventilated due to acute respiratory distress syndrome (ARDS) from coronavirus disease-2019 (COVID-19) infection. Respiratory care, early mobilization, and neuromuscular electrical stimulation were started in the ad hoc isolation ward of our rehabilitation center. At baseline, muscle function was consistent with intensive care unit-acquired weakness and the patient still needed mechanical ventilation (MV) and oxygen support. During the first week of RRP in isolation, the patient was successfully weaned from MV, the tracheal cannula was removed, and the walking capacity was recovered. At the end of the RRP, continued in a standard department, respiratory muscles strength increased by 7% and muscle function improved as indicated by the quadriceps size enlargement of 13% and the change of the Medical Research Council sum score from 48/60 to 58/60. DISCUSSION: Providing RRP in patients with severe COVID-19 ARDS involves risks for operators and organizational difficulties, especially in rehabilitation centers; nevertheless, its continuity is important to prevent the development of permanent disabilities in previously healthy subjects. Limited to the experience of only one patient, we were able to carry out a safe RRP during the COVID-19 pandemic, promoting the complete functional recovery of a COVID-19 young patient. SUMMARY: Most patients who develop serious consequences of COVID-19 infection risk a reduction in their quality of life. However, by organizing and directing specialized resources, subacute rehabilitation facilities could ensure the continuity of the RRPs even during the COVID-19 pandemic.
- Subjects :
- Male
ARDS
medicine.medical_treatment
030204 cardiovascular system & hematology
intensive care unit
Severity of Illness Index
Patient Isolation
Tracheostomy
0302 clinical medicine
Viral
Respiratory Distress Syndrome
Rehabilitation
Respiration
Middle Aged
Respiratory Function Tests
Treatment Outcome
respiratory rehabilitation
Artificial
medicine.symptom
Coronavirus Infections
Cardiology and Cardiovascular Medicine
Ventilator Weaning
Adult
Pulmonary and Respiratory Medicine
Respiratory Therapy
medicine.medical_specialty
Weakness
acute respiratory distress syndrome
COVID-19
muscle weakness
Feasibility Studies
Humans
Pandemics
Pneumonia, Viral
Recovery of Function
Rehabilitation Centers
Respiration, Artificial
Respiratory Distress Syndrome, Adult
Risk Assessment
03 medical and health sciences
Intensive care
Severity of illness
medicine
Pulmonary rehabilitation
Mechanical ventilation
business.industry
Pneumonia
medicine.disease
030228 respiratory system
Emergency medicine
business
Respiratory care
Subjects
Details
- ISSN :
- 19327501
- Volume :
- 40
- Database :
- OpenAIRE
- Journal :
- Journal of Cardiopulmonary Rehabilitation and Prevention
- Accession number :
- edsair.doi.dedup.....f5488f79482a1a7a0e3a92a47b1ffb00