Joint Statement on the Role of Respiratory Rehabilitation in the COVID-19 Crisis: The Italian Position Paper

被引:122
作者
Vitacca, Michele [1 ]
Carone, Mauro [2 ]
Clini, Enrico Maria [3 ]
Paneroni, Mara [1 ]
Lazzeri, Marta [4 ]
Lanza, Andrea [5 ]
Privitera, Emilia [6 ]
Pasqua, Franco [7 ]
Gigliotti, Francesco [8 ]
Castellana, Giorgio [2 ]
Banfi, Paolo [9 ]
Guffanti, Enrico [10 ]
Santus, Pierachille [11 ]
Ambrosino, Nicolino [12 ]
机构
[1] Ist Clin Sci Maugeri IRCCS, Resp Rehabil Inst Lumezzane, Brescia, Italy
[2] Ist Clin Sci Maugeri IRCCS, Resp Rehabil Inst Bari, Bari, Italy
[3] Univ Modena & Reggio Emilia, Dept Med & Surg Sci SMECHIMAI, Modena, Italy
[4] ASST Grande Osped Metropolitano Niguarda, Dept Cardiothorac & Vasc Surg, Milan, Italy
[5] ASST Grande Osped Metropolitano Niguarda, Sleep Med Ctr, Dept Neurosci, Milan, Italy
[6] Fdn IRCCS Ca Granda Osped Maggiore Policlin, Hlth Profess Dept Unit, Milan, Italy
[7] Ist Clin Riabilitat Villa Querce, Pulm Rehabil, Rome, Italy
[8] IRCCS Fdn Don Carlo Gnocchi Hosp, Pulm Rehabil Unit, Florence, Italy
[9] IRCCS Fdn Don Carlo Gnocchi Hosp, Pulm Rehabil Unit, Milan, Italy
[10] INRCA IRCCS, Rehabilitat Pneumol, Casatenovo, Lecco, Italy
[11] Univ Milan, Osped Univ L Sacco ASST Fatebenefratelli Sacco, Dept Biomed & Clin Sci L Sacco, Div Resp Dis, Milan, Italy
[12] Ist Clin Sci Maugeri IRCCS, Resp Rehabil Inst Montescano, Pavia, Italy
关键词
Critical care medicine; Pulmonary medicine; Position paper; MECHANICAL VENTILATION; PULMONARY REHABILITATION; ELECTRICAL-STIMULATION; MANAGEMENT; PATIENT; CARE;
D O I
10.1159/000508399
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Due to the exponential growth of the number of subjects affected by coronavirus disease 2019 (COVID-19), the entire Italian health care system had to respond promptly and in a very short time with the need of semi-intensive and intensive care units. Moreover, trained dedicated COVID-19 teams consisting of physicians were coming from different specialties (intensivists or pneumologists and infectiologists), while respiratory therapists and nurses have been recruited to work on and on without rest. However, due to still limited and evolving knowledge of COVID-19, there are few recommendations concerning the need in respiratory rehabilitation and physiotherapy interventions. The presentation of this paper is the result of a consensus promoted by the Italian societies of respiratory health care professionals who contacted pulmonologists directly involved in the treatment and rehabilitation of COVID-19. The aim was to formulate the more proper and common suggestions to be applied in different hospital settings in offering rehabilitative programs and physiotherapy workforce planning for COVID-19 patients. Two main areas of intervention were identified: organization and treatment, which are described in this paper to face the emergency. (c) 2020 S. Karger AG, Basel
引用
收藏
页码:493 / 499
页数:7
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