RESPIRATORY KINESITHERAPY IN CRITICALLY ILL PATIENTS WITH COVID-19: THE REHABILITATION NURSE'S INTERVENTION - CASE STUDY

• Main Authors: Marco Fernando Neves China (Author), Helena Isabel Bacalhau Antunes (Author), Lúcia Maria Simões Martins (Author), Maria de Fátima Alves Pereira Ferreira (Author), Maria Fernanda Jesus Simões Viseu (Author), Maria Helena Dias Pires (Author)
• Format: Book
• Published: Associação Portuguesa dos Enfermeiros de Reabilitação, 2020-11-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

Aim: This study aims to describe rehabilitation nurse interventions in Respiratory Kinesitherapy in critically ill with COVID-19 patient undergoing venovenous extra-corporeal membrane oxygenation and its response concerning to gasometric and ventilatory parameters before and after each session. Methodology: Case study of a 63-year-old person with history of obesity and high blood pressure. Retrospective data were collected from the clinical process, referring to a 38-day ICU stay. Results: The most performed techniques used in Respiratory Kinesitherapy by rehabilitation nurses were suctioning through closed system, vibrations, sudden decompression, selective costal openings, forced manual expiration, directed ventilation and mechanical in-exhaler. Globally, all sessions showed that there was an improvement in inspiratory and expiratory volumes, as well as in static compliance. Machanical in-exhaler was used after a week of hospital stay, after all other possible interventions were performed, and all outcomes showed global improvements, without any adverse events. Conclusion: Implementation of structured and individualized respiratory kinesitherapy interventions can significantly benefit recovery of critical ill patients. Techniques that weren´t described for covid 19 cases were used effectively.

Item Description

2184-3023
10.33194/rper.2020.v3.s2.8.5796