Movilización temprana en pacientes con ventilación mecánica contagiados por COVID-19
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Jul 10, 2022
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Los pacientes contagiados con enfermedad COVID-19 que requieren ventilación mecánica tienen una alta mortalidad y utilización de recursos. La capacidad de predecir y emitir criterios clínicos en qué pacientes pueden requerir ventilación mecánica permitirá una mayor agudeza de la atención e intervención específicas para mitigar potencialmente el deterioro de su fisiología. Objetivo: Examinar mediante la revisión de la literatura científica sobre la movilización temprana en pacientes con ventilación mecánica contagiados con COVID-19. Metodología: Se realizó un análisis bibliográfico de la literatura en diferentes revistas científicas como SCOPUS, WEB OF SCIENCE y PUBMED bajo un enfoque de síntesis narrativo, interpretativo y conceptual. Por lo consiguiente, se empleó términos clave en inglés y español como: “patients infected with COVID-19”, “infected mechanically ventilated patients”, “critical care medicine”, “mechanical ventilation”. Las fuentes bibliográficas se establecieron desde el 2019 al 2021. Resultados: Se demuestra la existencia de desafíos médicos, logísticos y de protección del personal médico para proporcionar apoyo respiratorio en pacientes contagiados con COVID-19, desde la epidemiología hasta las características clínicas, y el desarrollo de tratamientos farmacológicos que mejoran la mortalidad y la recuperación. Conclusión: Es esencial un enfoque terapéutico integrado para mitigar los efectos adversos para la salud física y mental de la neumonía por COVID-19.
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Torres Criollo, E. I., Ávila Vinueza, J. P., & Ortega Barco, M. A. (2022). Movilización temprana en pacientes con ventilación mecánica contagiados por COVID-19. ConcienciaDigital, 5(3), 85-106. https://doi.org/10.33262/concienciadigital.v5i3.2238
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Udi, J., Lang, C. N., Zotzmann, V., Krueger, K., Fluegler, A., Bamberg, F., Bode, C., Duerschmied, D., Wengenmayer, T., & Staudacher, D. L. (2021). Incidence of Barotrauma in Patients With COVID-19 Pneumonia During Prolonged Invasive Mechanical Ventilation – A Case-Control Study. Journal of Intensive Care Medicine, 36(4), 477–483. https://doi.org/10.1177/0885066620954364
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Battaglini, D., Robba, C., Caiffa, S., Ball, L., Brunetti, I., Loconte, M., Giacobbe, D. R., Vena, A., Patroniti, N., Bassetti, M., Torres, A., Rocco, P. R., & Pelosi, P. (2020). Chest physiotherapy: An important adjuvant in critically ill mechanically ventilated patients with COVID-19. Respiratory Physiology and Neurobiology, 282(July). https://doi.org/10.1016/j.resp.2020.103529
Beer, A., Hudler, H., Hader, M., Kundi, M., Hudler, S., Täuber, V., Schachner, H., Gruber, S., Hirschl, A. M., Kain, R., & Makristathis, A. (2019). Tocilizumab for treatment of mechanically ventilated patients with COVID-19 Emily. Clin Infect Dis, 54, 1–54.
Grasselli, G., Greco, M., Zanella, A., Albano, G., Antonelli, M., Bellani, G., Bonanomi, E., Cabrini, L., Carlesso, E., Castelli, G., Cattaneo, S., Cereda, D., Colombo, S., Coluccello, A., Crescini, G., Forastieri Molinari, A., Foti, G., Fumagalli, R., Iotti, G. A., Cecconi, M. (2020). Risk Factors Associated with Mortality among Patients with COVID-19 in Intensive Care Units in Lombardy, Italy. JAMA Internal Medicine, 180(10), 1345–1355. https://doi.org/10.1001/jamainternmed.2020.3539
Hill, J. B., Garcia, D., Crowther, M., Savage, B., Peress, S., Chang, K., & Deitelzweig, S. (2020). Frequency of venous thromboembolism in 6513 patients with COVID-19: a retrospective study. Blood Advances, 4(21), 5373–5377. https://doi.org/10.1182/BLOODADVANCES.2020003083
Hur, K., Price, C. P. E., Gray, E. L., Gulati, R. K., Maksimoski, M., Racette, S. D., Schneider, A. L., & Khanwalkar, A. R. (2020). Factors Associated with Intubation and Prolonged Intubation in Hospitalized Patients With COVID-19. Otolaryngology - Head and Neck Surgery (United States), 163(1), 170–178. https://doi.org/10.1177/0194599820929640
McWilliams, D., Weblin, J., Hodson, J., Veenith, T., Whitehouse, T., & Snelson, C. (2021). Rehabilitation Levels in Patients with COVID-19 Admitted to Intensive Care Requiring Invasive Ventilation an Observational Study. Annals of the American Thoracic Society, 18(1), 122–129. https://doi.org/10.1513/AnnalsATS.202005-560OC
Mellow, J., Young, T., Romano, P., Drake, C., & Balas, M. (2020). Factores asociados con la adherencia del paquete ABCDE en adultos críticamente enfermos que requieren ventilación mecánica: un diseño observacional. Intensive Crit Care Nurs. https://doi.org/10.1016/j.iccn.2020.102873
Pancera, S., Galeri, S., Porta, R., Pietta, I., Bianchi, L. N. C., Carrozza, M. C., & Villafañe, J. H. (2020). Feasibility and Efficacy of the Pulmonary Rehabilitation Program in a Rehabilitation Center: Case report of a young patient developing severe COVID-19 acute respiratory distress syndrome. Journal of Cardiopulmonary Rehabilitation and Prevention, 40(4), 206–208. https://doi.org/10.1097/HCR.0000000000000529
Parker, E. M., Bittner, E. A., Berra, L., & Pino, R. M. (2021). Efficiency of prolonged prone positioning for mechanically ventilated patients infected with covid-19. Journal of Clinical Medicine, 10(13). https://doi.org/10.3390/jcm10132969
Pons-Òdena, M., Valls, A., Grifols, J., Farré, R., Cambra Lasosa, F. J., & Rubin, B. K. (2020). COVID-19 and respiratory support devices. Paediatric Respiratory Reviews, 35, 61–63. https://doi.org/10.1016/j.prrv.2020.06.015
Reyes, M., Rosa, E., Camen, B., & Meriño, L. (2021). Enfrentamiento a la COVID - 19 Facultad de Enfermería - Tecnología. Medisan. http://www.medisan.sld.cu/index.php/san/article/view/3539
Robba, C., Battaglini, D., Ball, L., Pelosi, P., & Rocco, P. R. M. (2021). Ten things you need to know about intensive care unit management of mechanically ventilated patients with COVID-19. Expert Review of Respiratory Medicine, 15(10), 1293–1302. https://doi.org/10.1080/17476348.2021.1906226
Rushforth, A., Ladds, E., Wieringa, S., Taylor, S., Husain, L., & Greenhalgh, T. (2021). Long Covid – The illness narratives. Social Science and Medicine; Elsevier Ltd. https://doi.org/10.1016/j.socscimed.2021.114326
Sasidharan, S., Neseer, A., Singh, H., Manalikuzhiyil, B., Singh, S., Sinha, D., Singh, S., & Kaur, G. (2021). Ventilación mecánica invasiva de pacientes con SDRA por COVID-19. Revista Peruana de Investigación En Salud. https://doi.org/10.35839/repis.5.2.930
Shima, S., Naderi, S., Jiang, L., Ayesha, K., Durgesh, C., & et al. (2020). Risk of stroke in hospitalized SARS-CoV-2 infected patients: a multinational study. EBioMedicine. https://pubmed.ncbi.nlm.nih.gov/32818804/
Tang, H., Zhao, Z., Zhang, X., Pan, L., Wu, Q., Wang, M., Zhang, Y., & Li, F. (2021). Analysis of pathogens and risk factors of secondary pulmonary infection in patients with COVID-19. Microbial Pathogenesis. https://doi.org/10.1016/j.micpath.2021.104903
Thibodeaux, K., Speyrer, M., Raza, A., Yaakov, R., & Serena, T. E. (2020). Hyperbaric oxygen therapy in preventing mechanical ventilation in COVID-19 patients: A retrospective case series. Journal of Wound Care, 29, S4–S8. https://doi.org/10.12968/jowc.2020.29.Sup5a.S4
Udi, J., Lang, C. N., Zotzmann, V., Krueger, K., Fluegler, A., Bamberg, F., Bode, C., Duerschmied, D., Wengenmayer, T., & Staudacher, D. L. (2021). Incidence of Barotrauma in Patients With COVID-19 Pneumonia During Prolonged Invasive Mechanical Ventilation – A Case-Control Study. Journal of Intensive Care Medicine, 36(4), 477–483. https://doi.org/10.1177/0885066620954364
Valenzuela, P. L., Joyner, M., & Lucia, A. (2020). Early mobilization in hospitalized patients with COVID-19. Annals of Physical and Rehabilitation Medicine, 63(4), 384–385. https://doi.org/10.1016/j.rehab.2020.04.005
Zhong, H., Wang, Y., Zhang, Z. L., Liu, Y. X., Le, K. J., Cui, M., Yu, Y. T., Gu, Z. C., Gao, Y., & Lin, H. W. (2020). Efficacy and safety of current therapeutic options for COVID-19 - lessons to be learnt from SARS and MERS epidemic: A systematic review and meta-analysis. Pharmacological Research. https://doi.org/10.1016/j.phrs.2020.104872