Role of physiotherapy team in critically ill COVID-19 patients pronation: can a multidisciplinary management reduce the complications rate?

Souza

et al. 2022

RSD

Objetivo: Trata-se de uma revisão sistemática de artigos que estudam as estratégias de pronação dos últimos 5 anos em unidades de terapia intensiva. Métodos: Foram observados poucos artigos que tratem desse tema, totalizando 4 estudos de um total de 143 extraídos das bases de dados da PUBMED; SCOPUS; WEB OF SCIENCE; EMBASE. Resultados: Os estudos demonstram estratégias semelhantes usadas no planejamento da técnica por profissionais que realizam a pronação, é possível perceber também a concordância de que a pronação em pacientes com síndromes respiratórias internados em unidades de terapia intensiva pode ser um procedimento que atue na redução do tempo de internação e/ou as taxas de mortalidade, além de poder evitar complicações graves. Conclusão: Por tanto é necessário salientar a importância de estudos sobre o tema.

Section: Avaliação E Resultados Relatadosunclassified

Section: Discussionunclassified

Section: Qualidade Metodológica Dos Estudosunclassified

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Estratégias de pronação em pacientes com síndromes respiratórias agudas em unidades de terapia intensiva

Souza

et al. 2022

RSD

“…A pronation team of physiotherapists can help the nursing staff to reduce the work load and rate of complications. 37 Identification of COVID-related dysphagia needs integrative collaboration from both the intensive and the acute care departments. The inpatient therapeutic team must assess and manage speech and language-related complications, prevent aspiration pneumonia, manage malnutrition and dehydration, and evaluate postural changes.…”

Section: Integrative Covid-19 Patient Care In Health Facility Settingmentioning

confidence: 99%

Multidisciplinary Effort and Integrative Preparedness: A Lesson for the Foreseen Multivariate COVID-19 Pandemic Flare-Up

Yayehrad¹,

Siraj²,

Yimenu³

et al. 2021

JMDH

It has been a year and a half since the world suffered the horrific COVID-19 pandemic which has still continued becoming a prominent headache for the whole world. Recently, we are facing the second and third wave of multivariate outbreaks with great intensity of transmission which renders huge disaster. Presently, new strains of the virus are emerging that are predicted to be resistant for the current vaccines and other management approaches. It needs collaborative and coordinated role at professional, facility, regional, and global levels to ameliorate the pandemic by monitoring the existing and emerging variants. This review addressed the multidisciplinary roles in patient screening and detection, emergency management, moderate and critical care, vaccination, complication prevention, comorbidity management, psychological therapy, and digital health care. The inevitable roles of academicians, researchers, private health sectors, policy makers, regulatory bodies, and partners are also discussed.

“…Dysphagia has also been identified as being associated to critical COVID-19 patients [ 7 – 13 ]. The negative effects of COVID-19 on swallowing seem to be associated to the critical form of the disease, need for prolonged intensive care, intubation or mechanical ventilation, tracheostomy or nasogastric tubes, and to patients with acute respiratory infection, pneumonia and respiratory insufficiency [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Characteristics of postintubation dysphagia in ICU patients in the context of the COVID-19 outbreak: A report of 920 cases from a Brazilian reference center

et al. 2022

The purpose of this research was to identify risk factors that were independently related to the maintenance of a swallowing dysfunction in patients affected by critical COVID-19. We conducted a prospective observational cohort study of critical patients with COVID-19, who were admitted to a COVID-19 dedicated intensive care unit (ICU) and required prolonged orotracheal intubation (≥48 hours). Demographic and clinical data were collected at ICU admission and/or at hospital discharge or in-hospital death. Swallowing data was based on The Functional Oral Intake Scale (FOIS) and was collected at two distinct moments: initial swallowing assessment and at patient outcome. Patients were divided into two groups according to their FOIS level assigned on the last swallowing assessment: in-hospital resolved dysphagia–patients with FOIS levels 6 and 7; non-resolved dysphagia at hospital outcome–patients with FOIS levels 1 to 5. Nine hundred and twenty patients were included in our study. Results of the multivariate logistic regression model for the prediction of non-resolved dysphagia at hospital outcome in critical COVID-19 patients. indicated that increasing age (p = 0.002), severity at admission (p = 0.015), body mass index (p = 0.008), use of neuromuscular blockers (p = 0.028), presence of neurologic diseases (p = 0.038), presence of Diabetes Mellitus (p = 0.043) and lower FOIS levels on the initial swallowing assessment (p<0.001) were associated with higher chances of presenting dysphagia at hospital outcome. Critical patients with COVID-19 may experience post-acute COVID-19 dysphagia, indicating the need to prepare for the care/rehabilitation of these patients.