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Rehabilitation and respiratory management in the acute and early post-acute phase. "Instant paper from the field" on rehabilitation answers to the COVID-19 emergency.
Eur J Phys Rehabil Med. 2020 Jun; 56(3):323-326.EJ

Abstract

COVID-19 is a respiratory infectious disease that can cause respiratory, physical and psychological long-term dysfunctions in patients. First recommendations on respiratory management were published, but they were not based on the specific needs due to COVID-19. In this paper we share the early experiences from the clinical field in Northern Italy, where the epidemic started in February. This paper summarizes the second webinar on COVID-19 (230 live attendees, 11,600 viewers of the recorded version) organized by the Italian Society of Physical and Rehabilitation Medicine about rehabilitation and in particular respiratory management in the acute (Intensive Care Unit [ICU]) and immediate post-acute phases. There is the need to prepare for the post-acute phase. ICU length of stay is relatively long, with immobilization in prone position. Some specific problems are described, including severe muscle weakness and fatigue, joint stiffness, dysphagia, (neuro)psychological problems, impaired functioning concerning mobility, activities of daily life and work. A lot is yet unknown and patients can experience long-term consequences as we know from the literature on the postintensive care syndrome, but COVID-19 has unique features to be investigated and understood. As a colleague stated during the Covinar: this is a marathon, not a sprint….

Authors+Show Affiliations

Spinal Unit, Montecatone Rehabilitation Institute, Imola, Bologna, Italy - carlotte.kiekens@montecatone.com.Past-President Italian Society of Physical and Rehabilitation Medicine (SIMFER), Rome, Italy. General Secretary European Society of Physical and Rehabilitation Medicine (ESPRM), Rotterdam, the Netherlands.Unità Operativa Complessa di Riabilitazione Specialistica, ASST FBF Sacco, Milan, Italy.IRCCS Sacro Cuore Don Calabria, Negrar, Verona, Italy.Department of Physical Medicine and Neurorehabilitation, San Luigi Gonzaga University Hospital, Orbassano, Turin, Italy.Valduce Villa Beretta Hospital, Costa Masnaga, Lecco, Italy.Neurorehabilitation Unit, IRCCS S. Sebastiano Hospital, Correggio, Reggio Emilia, Italy.Department of Respiratory Rehabilitation and Neuromuscular-Rehabilitation, IRCCS S. Sebastiano Hospital, Correggio, Reggio Emilia, Italy.Valduce Villa Beretta Hospital, Costa Masnaga, Lecco, Italy.Unit of Pneumology, San Luigi Gonzaga University Hospital, Orbassano, Turin, Italy.Department of Biomedical, Surgical and Dental Sciences, University "La Statale", Milan, Italy. IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32293817

Citation

Kiekens, Carlotte, et al. "Rehabilitation and Respiratory Management in the Acute and Early Post-acute Phase. "Instant Paper From the Field" On Rehabilitation Answers to the COVID-19 Emergency." European Journal of Physical and Rehabilitation Medicine, vol. 56, no. 3, 2020, pp. 323-326.
Kiekens C, Boldrini P, Andreoli A, et al. Rehabilitation and respiratory management in the acute and early post-acute phase. "Instant paper from the field" on rehabilitation answers to the COVID-19 emergency. Eur J Phys Rehabil Med. 2020;56(3):323-326.
Kiekens, C., Boldrini, P., Andreoli, A., Avesani, R., Gamna, F., Grandi, M., Lombardi, F., Lusuardi, M., Molteni, F., Perboni, A., & Negrini, S. (2020). Rehabilitation and respiratory management in the acute and early post-acute phase. "Instant paper from the field" on rehabilitation answers to the COVID-19 emergency. European Journal of Physical and Rehabilitation Medicine, 56(3), 323-326. https://doi.org/10.23736/S1973-9087.20.06305-4
Kiekens C, et al. Rehabilitation and Respiratory Management in the Acute and Early Post-acute Phase. "Instant Paper From the Field" On Rehabilitation Answers to the COVID-19 Emergency. Eur J Phys Rehabil Med. 2020;56(3):323-326. PubMed PMID: 32293817.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Rehabilitation and respiratory management in the acute and early post-acute phase. "Instant paper from the field" on rehabilitation answers to the COVID-19 emergency. AU - Kiekens,Carlotte, AU - Boldrini,Paolo, AU - Andreoli,Arnaldo, AU - Avesani,Renato, AU - Gamna,Federica, AU - Grandi,Maurizio, AU - Lombardi,Francesco, AU - Lusuardi,Mirco, AU - Molteni,Franco, AU - Perboni,Alberto, AU - Negrini,Stefano, Y1 - 2020/04/15/ PY - 2020/4/16/pubmed PY - 2020/7/25/medline PY - 2020/4/16/entrez SP - 323 EP - 326 JF - European journal of physical and rehabilitation medicine JO - Eur J Phys Rehabil Med VL - 56 IS - 3 N2 - COVID-19 is a respiratory infectious disease that can cause respiratory, physical and psychological long-term dysfunctions in patients. First recommendations on respiratory management were published, but they were not based on the specific needs due to COVID-19. In this paper we share the early experiences from the clinical field in Northern Italy, where the epidemic started in February. This paper summarizes the second webinar on COVID-19 (230 live attendees, 11,600 viewers of the recorded version) organized by the Italian Society of Physical and Rehabilitation Medicine about rehabilitation and in particular respiratory management in the acute (Intensive Care Unit [ICU]) and immediate post-acute phases. There is the need to prepare for the post-acute phase. ICU length of stay is relatively long, with immobilization in prone position. Some specific problems are described, including severe muscle weakness and fatigue, joint stiffness, dysphagia, (neuro)psychological problems, impaired functioning concerning mobility, activities of daily life and work. A lot is yet unknown and patients can experience long-term consequences as we know from the literature on the postintensive care syndrome, but COVID-19 has unique features to be investigated and understood. As a colleague stated during the Covinar: this is a marathon, not a sprint…. SN - 1973-9095 UR - https://www.unboundmedicine.com/medline/citation/32293817/Rehabilitation_and_respiratory_management_in_the_acute_and_early_post_acute_phase__"Instant_paper_from_the_field"_on_rehabilitation_answers_to_the_COVID_19_emergency_ L2 - https://www.minervamedica.it/index2.t?show=R33Y2020N03A0323 DB - PRIME DP - Unbound Medicine ER -