Late Breaking Abstract - Early ICU physiotherapy on SARS-CoV-2 patients: A Spanish experience case series

  1. Corbellini, Camilo 1
  2. Vinuesa, Inmaculada 2
  3. Sánchez Romero, Eleuterio A. 3
  4. Ballesteros Reviriego, Gonzalo 4
  5. Bernal-Planas, Pascual 4
  6. Hugo Villafañe, Jorge 5
  1. 1 Casa di Cura Villa Serena
  2. 2 Hospital Universitario Nuestra Señora de Candelaria
    info

    Hospital Universitario Nuestra Señora de Candelaria

    Santa Cruz de Tenerife, España

    ROR https://ror.org/005a3p084

  3. 3 Universidad Europea de Madrid
    info

    Universidad Europea de Madrid

    Madrid, España

    ROR https://ror.org/04dp46240

  4. 4 Hospital Vall d'Hebron
    info

    Hospital Vall d'Hebron

    Barcelona, España

    ROR https://ror.org/03ba28x55

  5. 5 Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
    info

    Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico

    Milán, Italia

    ROR https://ror.org/016zn0y21

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Actas:
Acute critical care

Año de publicación: 2020

Tipo: Aportación congreso

DOI: 10.1183/13993003.CONGRESS-2020.334 GOOGLE SCHOLAR lock_openAcceso abierto editor

Resumen

wo acute respiratory failure secondary to SARS-CoV-2 subjects were admitted to the Hospital Universitario Vall d´Hebron ICU and Hospital Universitario Nuestra Señora de Candelaria ICU. The ICU respiratory physiotherapy (RP) plays an essential role during all phases of ventilatory care. Still, regarding the lack of information about RP effects in this context, these data are crucial to demonstrate its feasibility to treat SARS-CoV-2 subjects in ARDS.First case: An asthmatic 38 yr woman, sedated and intubated.Second case: Woman, with cardiac arrest, 43 yr, septic shock, hypoxemic encephalopathy, and seizures tracheostomized after ten days in IMV, pleural effusion drained during IMV. Both subjects SARS-CoV-2 positive during Hospital admission.RP goals: to improve WOB, gas exchange, recruit collapsed area, remove lung secretions, IMV wean, muscle strength. Figure 2 shows the RP protocol. Closed system airway suctioning removed abundant semi-thick and yellowish secretion. Early mobilization to upper and lower limbs was performed. Before the successful weaning, the patient presented X-ray, IMV settings, gas exchange, and muscle strength improvements (fig 1).