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https://assobrafirciencia.org/article/doi/10.47066/2177-9333.AC20.covid19.024
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Recomendações para a atuação dos fisioterapeutas na reanimação cardiopulmonar em pacientes adultos com COVID-19*

Recommendations for the contribution of physiotherapy during cardiopulmonary resuscitation in adult patients with COVID-19*

Fernanda Kazmierski Morakami, Flávio Maciel Dias de Andrade, Marlus Karsten

Downloads: 12
Views: 998

Resumo

O presente documento apresenta recomendações para atuação do fisioterapeuta na reanimação cardiopulmonar em pacientes adultos com suspeita ou diagnóstico de COVID-19, apontando considerações principalmente aos cuidados específicos que devem ser adotados nesta situação clínica, os quais diferem das recomendações habituais. Tem como foco a preocupação com a proteção dos profissionais de saúde atuantes na reanimação cardiopulmonar e a melhor assistência aos pacientes, minimizando riscos, padronizando ações e recomendando condutas. Dentre as principais recomendações, há indicação de não desconexão da assistência ventilatória mecânica, e de uso de parâmetros ventilatórios específicos, além da abordagem da posição prona. Sabemos ainda que, dentro da atual situação mundial frente à pandemia COVID-19, é possível que estudos futuros possam contribuir para consolidar e acrescentar as recomendações apresentadas neste documento.

Palavras-chave

Fisioterapia; Reanimação Cardiopulmonar; COVID-19.

Abstract

The current document provides recommendations for the contribution of physiotherapy during cardiopulmonary resuscitation (CPR) in adults with suspected or confirmed COVID-19, highlighting the differences related to this clinical situation compared to usual recommendations. It focuses on preventing the contamination of health professionals while providing the best care to patients. Standardized procedures are recommended in order to reduce the risk of contamination by health professionals. The main recommendations are to use specific ventilator settings and not to disconnect the patient from the ventilator during the procedure, besides recommendations to CPR while in prone position. In the current pandemic the world is facing, it is possible that future studies can contribute to consolidate and add to the recommendations presented in the current document.

Keywords

Physiotherapy; Cardiopulmonary Resuscitation; COVID-19.

Referências

1. WHO. Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected. Geneva: World Health Organization; 2020 [cited 2020 Jun 08]. Available from: https://www.who.int/publications-detail/clinical-management-of-severe-acute-respiratory-infection-when-novelcoronavirus-(ncov)-infection-is-suspected

2. Brasil. Ministério da Saúde. Coronavírus: profissionais e gestores de saúde. Brasília: Ministério da Saúde; 2020 [cited 2020 Jun 08]. Available from: https://coronavirus.saude.gov.br/.

3. WHO. Modes of transmission of virus causin COVID-19: implications for IPC precaution recommendations. Geneva: World Health Organization; 2020 [cited 2020 Jun 08]. Available from: https://www.who.int/news-room/commentaries/detail/modes-of-transmission-of-virus-causingcovid-19-implications-for-ipc-precaution-recommendations

4. Chahar P, Marciniak D. Cardiopulmonary ressuscitation in COVID-19 patients. Cleve Clin J Med. 2020 Jun 11. doi: 10.3949/ccjm.87a.ccc040. Online ahead of print.

5. Resuscitation Council UK. Guidance for the resuscitation of COVID-19 patients in Hospital. London: Resuscitation Council UK; 2014-2020. Available from: https://www.resus.org.uk/media/statements/resuscitation-council-uk-statements-on-covid-19-coronavirus-cpr-and-resuscitation/

6. American Heart Association. Coronavirus (COVID-19) Resources for CPR Training. Dallas: American Heart Association; 2020. Available from: https://cpr.heart.org/en/resources/coronaviruscovid19-resources-for-cpr-training.

7. Guimarães HP, Timerman S, Correa T, Rodrigues RR, Freitas AP, Rea Neto A. Recomendações para Ressuscitação Cardiopulmonar (RCP) de pacientes com diagnóstico ou suspeita de COVID-19 - ABRAMEDE/AMIB/SBC. [Porto Alegre]: Associação Brasileira de Medicina de Emergência; 2020. Available from: http://abramede.com.br/wp-content/uploads/2020/03/RCP-ABRAMEDE-SBC-AMIB-05-210320.pdf

8. Edelson DP, Sasson C, Chan PS, Atkins DL, Aziz K, Becker LB, et al, Interim Guidance for Life Support for COVID-19. Circulation. 2020 Jun 23;141(25):e933-e943. doi: 10.1161/CIRCULATIONAHA.120.047463. Epub 2020 Apr 9.

9. Bamford P, Denmade C, Newmarch C, Shirley P, Singer B, Webb S, et al. Guidance for prone positioning in adult critical care. Prepared on behalf of the Intensive Care Society and Faculty of Intensive Care Medicine. London: Intensive Care Society; 2019 Nov. Available from: https://www.ficm.ac.uk/sites/default/files/prone_position_in_adult_critical_care_2019.pdf

10. Barker J, Koeckerling D, West R. A need for prone position CPR guidance for intubated and non-intubated patients during the COVID-19 pandemic. Resuscitation. 2020 Jun;151:135-136. doi: 10.1016/j.resuscitation.2020.04.029. Epub 2020 May 1.

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