2020
DOI: 10.4081/monaldi.2020.1285
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Respiratory physiotherapy in patients with COVID-19 infection in acute setting: a Position Paper of the Italian Association of Respiratory Physiotherapists (ARIR)

Abstract: Respiratory physiotherapy in patients with COVID-19 infection in acute setting: a Position Paper of the Italian Association of Respiratory Physiotherapists (ARIR) On February 2020, Italy, especially the northern regions, was hit by an epidemic of the new SARS-Cov-2 coronavirus that spread from China between December 2019 and January 2020. The entire healthcare system had to respond promptly in a very short time to an exponential growth of the number of subjects affected by COVID-19 (Coronavirus disease 2… Show more

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Cited by 248 publications
(360 citation statements)
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“…A tele-rehabilitation strategy should vary depending on a patient's cognitive and functional status. For instance, different respiratory physiotherapy plans are recommended to patients with spontaneous breathing, with invasive mechanical ventilation for those in an acute phases [200]. Tele-rehabilitation should also be performed following the 4s principle, i.e., simple, safe, satisfy, save, in particular to prevent the spread of virus through droplets [201].…”
Section: Tele-rehabilitationmentioning
confidence: 99%
“…A tele-rehabilitation strategy should vary depending on a patient's cognitive and functional status. For instance, different respiratory physiotherapy plans are recommended to patients with spontaneous breathing, with invasive mechanical ventilation for those in an acute phases [200]. Tele-rehabilitation should also be performed following the 4s principle, i.e., simple, safe, satisfy, save, in particular to prevent the spread of virus through droplets [201].…”
Section: Tele-rehabilitationmentioning
confidence: 99%
“…For these patients, oxygen therapy should be performed to maintain SPO 2 > 94 and is better to be performed through a nasal cannula or oxygen mask (18,19). One study; however, noted that oxygen therapy through the nasal route may further spread airborne contaminated droplets (20). The prevalence of acute respiratory syndrome has been reported as high as 17% among the patients (21).…”
Section: Discussionmentioning
confidence: 99%
“…Healthcare workers must pay attention to the high-risk interventions that may expose them to contamination due to the dispersion of droplets when attending patients with COVID-19. Several respiratory techniques are used in acute patients, such as aerosol nebulization, mucous clearance, NIV, bronchoscopy, tracheal intubation, manual ventilation before intubation, tracheotomy, endotracheal aspiration, cardiopulmonary resuscitation and extubation [4].…”
Section: To the Editormentioning
confidence: 99%