Table 2: Activities developed in Respiratory Physiotherapy to minimize Covid-19.
Author/Year |
Developed Activities |
Main Results
|
Indications
|
Kleber, [22] |
• CPR in patients with SARS. • Position in Pronation.
|
The prone position changes blood pressures during CPR.
|
• Patients with Covid-19 who progress to cardiorespiratory arrest. As long as it is in the place that the team is using PPE. Suitable for not delaying the start of CPR.
|
Roesthuis, et al. [18] |
• PP after IOT for 3 days and low PEEP with 50% FiO2.
|
• Maintenance of good ventilation-perfusion ratio. • Slight reduction in chest wall compliance. • Improved compliance with low PEEP. |
• All SARS patients responded well to PP. • The use of PP should be for a prolonged period of 3-5 days and with lower PEEP levels. |
Wincka e Ambrosino [16] |
PP in patients with a PaO2/FiO2 Ratio (P/F) ≥ 150 mmHg.
|
• Significant improvement in the PaO2 / FiO2 ratio with PP.
|
• Use PP for at least 12 to 16 hours a day, preferably within 72 hours after IOT. • Perform the procedure until obtaining a PaO2/FiO2 (P/F) ratio ≥ 150 mmHg with PEEP ≤ 10 cmH2O and FiO2 ≤ 0.60 for at least 4 hours in the supine position.
|
Lazzeri, et al. [17] |
• PP and Maneuver Training.
|
• Reduction of end-expiratory pressure loss using a closed system. • Reduction of atelectasis. • Improved compliance. • Improved ventilation/perfusion ratio.
|
• Patients with Covid-19 and SRAG. • Use closed suction circuit and do not disconnect the ventilator so as not to lose end-expiratory pressure. • Use PP 12 to 16 hours a day. • Train the team in performing the maneuver.
|
Robba, et al. [20] |
• PP and computed tomography.
|
PP in SARS patients show an improvement in the PaO2/FiO2 ratio.
|
• Maintain PP for a period of 12 hours in patients with a PaO2/FiO2 (P/F) ratio < 150 mmHg.
|
Carsetti, et al. [21] |
PP |
significant improvement in oxygenation.
|
Carry out PP for at least 16 hours.
|
PPE: Personal Protective Equipment; OTI: Orotracheal Intubation; PP: Position in pronation; CPR: Cardiopulmonary Resuscitation; SARS: Severe Acute Respiratory syndrome.
Source: Prepared by the authors