Physiotherapeutic care in the patient intensive care unit with COVID-19: an integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i1.25021

Keywords:

Physical therapists; COVID-19; Intensive Care Units.

Abstract

Introduction: The COVID-19 infection caused by the coronavirus (SARS-CoV-2) has spread to become a worldwide pandemic leading to a high rate of morbidity and mortality. Physiotherapists, as professionals who work on the front lines of the pandemic, must always be aware of updates and have the skills to make decisions, detect new cases and define the appropriate treatment in the ICU. Objective: To analyze physical therapy assistance in the Intensive Care Unit for patients with COVID-19. Methods: This is a bibliographic research of the integrative literature review type, in which the Bireme and PubMed databases, and the health descriptors and mesh terms were used to elaborate the search strategy. Results: Nine studies were included in this review, studies dealing with physical therapy assistance in the ICU for patients with COVID-19. The experience of physical therapists is highlighted and they discuss the challenges and strategy for the clinical management of these patients in ICUs of different specialties, such as cardiology, neurological, pediatric and adult ICUs. Conclusion: The care provided should focus on preventing future injuries and strengthening patients in order to improve their ability to exchange gas and oxygenation. In this aspect, the physiotherapist works with the patient, seeking to carry out prevention and treatment activities, in addition to offering emotional support, as these clients, in most cases, are physically and psychologically fragile.

References

Bertozzi, M. N., Cagide, S., Navarro, E., & Accoce, M. (2021). Description of physical rehabilitation in intensive care units in Argentina: usual practice and during the covid-19 pandemic. online survey. Revista Brasileira de Terapia Intensiva, [S.l.], 33(2), 188-195.

Borges, D. L., Rapello, G. V. G., Deponti, G. N., & Andrade, F. M. D. D. (2020). Posição prona no tratamento da insuficiência respiratória aguda na COVID-19. Assobrafir Ciência, [S.l.], 11(1), 111-120.

Cecchet, I. L., De Lima, M. C., De Souza, I. F. (2021). Fisioterapia respiratória no tratamento hospitalar da covid-19: uma revisão integrativa. Revista Artigos. Com, 26, 6242-6242.

Dean, E., Jones, A., Yu, H. P. M., Gosselink, R., & Skinner, M. (2020). Translating COVID-19 Evidence to Maximize Physical Therapists’ Impact and Public Health Response. Physical Therapy, [S.l.], 100(9), 1458-1464.

Eggmann, S., Kindler, A., Perren, A., Ott, N., Johannes, F., Vollenweider, R., … & Jakob, S. M. (2020). Early Physical Therapist Interventions for Patients With COVID-19 in the Acute Care Hospital: a case report series. Physical Therapy, [S.l.], 101(1), 1-9.

Gaspari, C. H., Assumpção, I., Freire, R., Silva, A., Santiso, C., & Jaccoud, A. C. (2020). The First 60 Days: physical therapy in a neurosurgical center converted into a covid-19 center in brazil. Physical Therapy, [S.l.], 100(12), 2120-2126.

Li, L., Yu, P., Yang, M., Xie, W., Huang, L., He, C., … & Jones, A. Y. M. (2020). Physical Therapist Management of COVID-19 in the Intensive Care Unit: the west china hospital experience. Physical Therapy, [S.l.], 101(1), 1-10.

Musumeci, M. M., Martinez, B. P., Nogueira, I. C., & Alcanfor, T. (2020). Recursos fisioterapêuticos utilizados em unidades de terapia intensiva para avaliação e tratamento das disfunções respiratórias de pacientes com covid-19. Assobrafir Ciência, [S.L.], 11(1), 73-86.

Ng, J A., Miccile, L., Iracheta, C., Berndt, C., Detwiller, M., Yuse, C., & Tolland, J. (2020). Prone Positioning of Patients With Acute Respiratory Distress Syndrome Related to COVID-19: a rehabilitation-based prone team. Physical Therapy, [S.l.], 100(10), 1737-1745.

Oliveira, J. S. D., Veiga, I. N., & Mota, C. S. (2021). Intervenção fisioterapêutica em uma criança com coronavírus em um hospital de referência: relato de caso. Revista Pesquisa em Fisioterapia, [S.l.], 11(1), 227-232.

Righetti, R. F., Onoue, M. A., Politi, F. V. A., Teixeira, D. T., Souza, P. N. D., Kondo, C. S., ... & Pastore, L. (2020). Physiotherapy Care of Patients with Coronavirus Disease 2019 (COVID-19) - A Brazilian Experience. Clinics, [S.l.], 75.

Sousa, L. M. M., Marques-Vieira, C. M. A, Severino, S. S. P., & Antunes, A. V. (2017). A metodologia de revisão integrativa da literatura em enfermagem. Revista de Investigação de Enfermagem, 21, 17-26.

Thomas, P., Baldwin, C., Bissett, B., Boden, I., Gosselink, R., Granger, C. L., ... & Moses, R. (2020). Physiotherapy management for COVID-19 in the acute hospital setting: clinical practice recommendations. Journal Of Physiotherapy, [S.l.], 66(2), 73-82.

Published

11/01/2022

How to Cite

ALVES, A. da S. .; SANTOS , K. P. R. dos .; SILVA, W. C. da .; CHAVES, T. S. S. .; SILVA, M. L. da .; CHAVES, J. N. .; CARVALHO, F. de A.; LIMA, W. H. S. .; COUTINHO, E. N. .; FERREIRA, E. H. B. .; HERNANDES, L. F. .; SOUSA , F. das C. A. .; TEIXEIRA , S. A. M. .; GOMES, F. E. G. L. .; GUIMARÃES, L. S. . Physiotherapeutic care in the patient intensive care unit with COVID-19: an integrative review . Research, Society and Development, [S. l.], v. 11, n. 1, p. e45411125021, 2022. DOI: 10.33448/rsd-v11i1.25021. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/25021. Acesso em: 19 apr. 2024.

Issue

Section

Review Article