Case Report: A Rehabilitation Practice Report During ICU Management for a Patient With Multiple Disabilities Due to COVID-19 Pneumonia and COPD

Frontiers in Medicine

article

Tokio Kinoshita¹  Fumihiro Tajima¹  Ken Kouda¹  Yasunori Umemoto¹  Yoshinori Yasuoka¹  Yuta Minoshima¹  Yukio Mikami¹  Yukihide Nishimura³  Kyohei Miyamoto⁴  Seiya Kato⁴ 

[1] Department of Rehabilitation Medicine, Wakayama Medical University;Division of Rehabilitation, Wakayama Medical University Hospital;Department of Rehabilitation Medicine, Iwate Medical University;Department of Emergency and Critical Care Medicine, Wakayama Medical University

关键词: SARS-CoV-2;    early ambulation;    supplemental oxygen therapy;    rehabilitation;    case report;   

DOI  :  10.3389/fmed.2021.692898

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Patients with severe coronavirus disease (COVID-19) and admitted to the intensive care unit (ICU) are at high risk of developing ICU-acquired weakness and disuse syndrome. Although their medical management may include prolonged deep sedation for pulmonary protection and ventilator management, we aim for early mobilization of these patients with COVID-19. We present the case of a 71-year-old man with chronic obstructive pulmonary disease (COPD) and COVID-19 pneumonia. Passive range of motion training and sitting on the edge of the bed were started in the ICU while the patient was under deep sedation. His activities of daily living eventually improved to where he could independently walk to the toilet without respiratory distress. Patients with severe COVID-19 who require mechanical ventilation are at risk of muscle weakness and exercise intolerance. These patients require rehabilitation therapy, beginning in the acute phase of illness, to recover their physical function. Although validation with a larger cohort is necessary, our results suggest that patients with COPD and COVID-19 pneumonia should undergo rehabilitation concurrently with status-driven changes in respiratory management.

【 授权许可】

CC BY