Outcomes of a functional rehabilitation protocol in chronic critical disease by COVID-19: A case report
DOI:
https://doi.org/10.33448/rsd-v12i3.40526Keywords:
Rehabilitation; COVID-19; Muscle weakness.Abstract
The 2019 novel coronavirus (SARS-CoV-2) is the virus that causes COVID-19. It can cause severe illness, with significant increase in morbidity and mortality rates, requiring the need for hospitalization and mechanical ventilation. This study aims to describe a functional rehabilitation protocol applied to a patient with COVID-19 after 21 days of mechanical ventilation (MV). We report a case of a 56-year-old female patient diagnosed with COVID-19 who presented severe hypoxemic respiratory failure, chronic critical disease, intensive care unit acquired weakness, difficult and prolonged weaning, organ dysfunction, and needed tracheotomy. The patient responded satisfactorily to a late functional rehabilitation protocol showing the importance of well-designed and individualized protocols to achieve maximum functional recovery.
References
Bach, J. R., & Saporito, L. R. (1996). Criteria for extubation and tracheostomy tube removal for patients with ventilatory failure: a different approach to weaning. Chest, 110(6), 1566-1571. https://doi.org/10.1378/chest.110.6.1566
Biscaro, R. R. M. (2021). Ventilator-associated pneumonia (VAP): assessment of functional status and survival.
De Jonghe, B., Lacherade, J. C., Durand, M. C., & Sharshar, T. (2008). Critical illness neuromuscular syndromes. Neurologic clinics, 26(2), 507-520. https://doi.org/10.1016/j.ncl.2008.03.001
Gosselink, R., Bott, J., Johnson, M., Dean, E., Nava, S., Norrenberg, M., Schönhofer, B., Stiller, K., van de Leur, H., & Vincent, J. L. (2008). Physiotherapy for adult patients with critical illness: recommendations of the European Respiratory Society and European Society of Intensive Care Medicine Task Force on physiotherapy for critically ill patients. Intensive care medicine, 34, 1188-1199. https://doi.org/10.1007/s00134-008-1026-7
Hermans, G., & Van den Berghe, G. (2015). Clinical review: intensive care unit acquired weakness. Critical care, 19(1), 1-9. https://doi.org/10.1186/s13054-015-0993-7
Jiang, Y., Chen, J., Cen, F., Li, X., Song, Z., Peng, M., & Liu, X. (2020). Importance of respiratory airway management as well as psychological and rehabilitative treatments to COVID-19 patients. The American Journal of Emergency Medicine, 38(8), 1698-e1. https://doi.org/10.1016/j.ajem.2020.04.055
Koch, S., Spuler, S., Deja, M., Bierbrauer, J., Dimroth, A., Behse, F., Spies, C. D., Wernecke, K. D., & Weber-Carstens, S. (2011). Critical illness myopathy is frequent: accompanying neuropathy protracts ICU discharge. Journal of Neurology, Neurosurgery & Psychiatry, 82(3), 287-293. http://dx.doi.org/10.1136/jnnp.2009.192997
Leitão, S.M., Wirtzbiki, P.M. de Oliveira, O.J.N. (2017). Chronic Critical Disease: a narrative review. Journal of health biological Sciences, 6(1), 92-99. http://dx.doi.org/10.12662/2317-3076jhbs.v6i1.1404.p92-99.2018
McWilliams, D., Weblin, J., Hodson, J., Veenith, T., Whitehouse, T., & Snelson, C. (2021). Rehabilitation levels in patients with COVID-19 admitted to intensive care requiring invasive ventilation. An observational study. Annals of the American Thoracic Society, 18(1), 122-129. https://doi.org/10.1513/AnnalsATS.202005-560OC
Morris, P. E., Griffin, L., Thompson, C., Hite, R. D., Haponik, E., Berry, M., Winkelman, C., Hopkins, R. O & Leach, S. (2011). Receiving early mobility during an intensive care unit admission is a predictor of improved outcomes in acute respiratory failure. The American journal of the medical sciences, 341(5), 373-377. https://doi.org/10.1097/MAJ.0b013e31820ab4f6
Neder, J. A., Andreoni, S., Lerario, M. C., & Nery, L. E. (1999). Reference values for lung function tests: II. Maximal respiratory pressures and voluntary ventilation. Brazilian journal of medical and biological research, 32, 719-727. https://doi.org/10.1590/S0100-879X1999000600007
Nici, L., Donner, C., Wouters, E., Zuwallack, R., Ambrosino, N., Bourbeau, J., Carone, M., Celli, B., Engelen, M., Fahy, B., Garvey, C., Goldstein, R., Gosselink, R., Lareau, S., MacIntyre, N., Maltais, F., Morgan, M., O'Donnell, D., Prefault, C., Reardon, J., Rochester, C., Schols, A., Singh, Sally., Troosters, T., ATS/ERS Pulmonary Rehabilitation Writing Committee (2006). American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation. American journal of respiratory and critical care medicine, 173(12), 1390–1413. https://doi.org/10.1164/rccm.200508-1211ST
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Methodology of scientific research.
Selimoglu, E. (2007). Aminoglycoside-induced ototoxicity. Current pharmaceutical design, 13(1), 119-126. https://doi.org/10.2174/138161207779313731
Simpson, R., & Robinson, L. (2020). Rehabilitation after critical illness in people with COVID-19 infection. American journal of physical medicine & rehabilitation, 99(6), 470-474. https://doi.org/10.1097/PHM.0000000000001443
Stevens, R. D., Dowdy, D. W., Michaels, R. K., Mendez-Tellez, P. A., Pronovost, P. J., & Needham, D. M. (2007). Neuromuscular dysfunction acquired in critical illness: a systematic review. Intensive care medicine, 33, 1876-1891.
Thomas, D. C., Kreizman, I. J., Melchiorre, P., & Ragnarsson, K. T. (2002) Rehabilitation of the patient with chronic critical illness. Crit Care Clin 18:695–715 https://doi.org/10.1016/s0749-0704(02)00011-8
Thornton J. (2020). Covid-19: the challenge of patient rehabilitation after intensive care. BMJ (Clinical research ed.), 369, m1787. https://doi.org/10.1136/bmj.m1787
WHO. (2020). Coronavirus disease (COVID-19) Situation Report–119. World Health Organization (WHO)
Yang, X., Yu, Y., Xu, J., Shu, H., Xia, J., Liu, H., Wu, Y., Zhang, L., Yu, Z., Fang, M., Yu, T., Wang, Y., Pan, S., Zou, X., Yuan, S., & Shang, Y. (2020). Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. The Lancet. Respiratory medicine, 8(5), 475–481. https://doi.org/10.1016/S2213-2600(20)30079-5
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Copyright (c) 2023 Jacqueline Rodrigues de Freitas Vianna; Thais Helena de Paula Michelato; Breno Henrique Florêncio de Barros; Ana Laura Tassinari Ribeiro; Jorge Luis Guerra; Edson Alves Barros Junior; Maurício Jamami
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