Recomendações para a atuação dos fisioterapeutas nos distúrbios respiratórios do sono em pacientes sem e com suspeita ou confirmação de COVID-19*
Recommendations for physiotherapy in sleep-breathing disorders in patients with or without suspected or confirmed COVID-19*
Vivien Schmeling Piccin, Aline Marques Franco, Flávia Baggio Nerbass
Resumo
A pandemia da COVID-19 desafia o sistema de saúde. A alta transmissibilidade viral e ausência de tratamento especÃfico torna necessária a adoção de estratégias para mitigação do contágio, que se dá pela dispersão de partÃculas no ar. A apneia do sono é uma condição clÃnica que demanda o uso de dispositivos de pressão positiva e acessórios (incluindo interface) pelo paciente. A válvula exalatória contida nas interfaces pode contribuir para maior aerossolização desse ar, aumentando a chance de contágio. Além disso, há grande proximidade fÃsica entre paciente e profissional de saúde no perÃodo de tratamento inicial, acarretando muitas dúvidas para os fisioterapeutas que atuam na área acerca do manuseio dos dispositivos e condutas mais adequadas. Embasado nas melhores evidências cientÃficas disponÃveis, este documento objetiva esclarecer e auxiliar o fisioterapeuta a conduzir e orientar seus pacientes durante o perÃodo de pandemia da COVID-19.
Palavras-chave
Abstract
The COVID-19 pandemic challenges the health care system. High viral transmissibility and the absence of a specific treatment leads to the adoption of strategies to mitigate contamination, caused by the dispersion of particles in the air. Sleep apnoea is a clinical condition that requires the use of positive pressure devices and accessories (e.g., face mask) by the patient. The exhalation exit in the mask may contribute to higher aerosol dispersion, increasing the chance of contaminating the people around. Furthermore, patients and health professionals keep close physical contact during the early period of treatment, raising many doubts for physiotherapists who work in this field regarding the handling of devices and use of techniques. Based on the best scientific evidence available, this document aims to assist the physiotherapist with treating and guiding his/her patient during the pandemic.
Keywords
Referências
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