Respiratory physiotherapy education in Italy:<i>per aspera ad astra</i>

Gambazza, Simone

doi:10.1183/20734735.021918

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…In February 2020, more than 100 patients were admitted to ICU and 300 patients to other COVID-19 units. Among the 24 physiotherapists from different units assigned to acute COVID-19 wards, 10 have a postgraduate degree in cardiopulmonary and critical care physiotherapy or had >5 years' experience in the respiratory field [17].…”

Section: Study Design and Settingmentioning

confidence: 99%

Safety and feasibility of physiotherapy in ICU-admitted severe COVID-19 patients: an observational study

Rossi

Santambrogio

Monaco

et al. 2022

Monaldi Arch Chest Dis

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Early physiotherapy could play an important role in the management of severe COVID-19 subjects with consequences of prolonged ICU stay, although its effectiveness is still unclear. Aim of this study is to describe physiotherapy performed in severe COVID-19 patients and to evaluate its safety and feasibility. Consecutive adults with confirmed SARS-CoV-2 infection, admitted to the ICU, needing invasive mechanical ventilation for >24 hours and receiving early physiotherapy, have been enrolled. Adverse events occurred during physiotherapy sessions and timing and type of physiotherapy delivered were analysed, to identify the interventions most frequently performed and to determine the time taken to first mobilize, stand and walk. Functional and clinical assessment of patients was also performed at hospital discharge. Eighty-four severe COVID-19 subjects were enrolled. Few minor adverse events were recorded. Active mobilization was promoted over passive mobilization and independence in daily life activities was supported. Time interval from patients’ intubation to the first physiotherapy treatment was 13 days and to walking was 27 days. Forty-eight (57.1%) subjects returned at home, whereas 29 (34.5%) were discharged to in-patient rehabilitation. Patients with tracheostomy experienced a delay in time from ICU admission until sit out of bed and ambulation, if compared with subjects without tracheostomy, although no differences were found in 6MWT and 1m-STST performances. This study reporting early physiotherapy during pandemic suggests that this intervention is feasible and safe for severe COVID-19 subjects, as well as healthcare workers, although delayed compared to other critically ill patients.

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Section: Study Design and Settingmentioning

confidence: 99%

Safety and feasibility of physiotherapy in ICU-admitted severe COVID-19 patients: an observational study

Rossi

Santambrogio

Monaco

et al. 2022

Monaldi Arch Chest Dis

View full text Add to dashboard Cite

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“…Against all the difficulties we face as professionals in being involved in clinical research [7] and in being adequately represented in academia [8], today is the time for ARIR and for all the Italian professionals involved in the respiratory physiotherapy care to bet on a different editorial future. After 25 years, ARIR official publication Rivista Italiana di Fisioterapia e Riabilitazione Respiratoria changes its languages and will be indexed on several medical databases, with the diffusion of its contents within the section Physiotherapy Area of Monaldi Archives of Chest Disease.…”

mentioning

confidence: 99%