Recursos e técnicas fisioterapêuticas que devem ser utilizadas com cautela ou evitadas em pacientes com COVID-19*
Physiotherapeutic techniques that should be used with caution or avoided in patients with COVID-19*
Karina Couto Furlanetto, Nidia Aparecida Hernandes, Rafael Barreto de Mesquita
Resumo
O presente documento apresenta direcionamentos para o atendimento de Fisioterapia a pacientes com suspeita ou diagnostico de COVID-19, com foco nos recursos e técnicas que devem ser utilizados com cautela ou até mesmo evitados. Em meio à pandemia da COVID-19, a redução da disseminação do vírus é uma preocupação importante dos órgãos e profissionais de saúde. Deste modo, recomendações relacionadas ao risco para a geração de gotículas e aerossóis, ao risco de causar gasto energético excessivo e ao risco de causar injúria pulmonar foram apresentadas. Recomenda-se utilizar com cautela ou evitar o uso de máscara de Venturi, tenda de oxigênio, cânula nasal de alto fluxo, ventilação não-invasiva com circuito único, ressuscitador manual, exercícios físicos com intensidade moderada-alta, assim como estratégias convencionais de ventilação mecânica. O fisioterapeuta que assiste pacientes com COVID-19 deve observar esses direcionamentos para garantir um atendimento eficaz e seguro para si próprio e para o paciente.
Palavras-chave
Abstract
The current document provides guidelines for physiotherapy assistance to patients with suspected or diagnosed COVID-19, focusing on physiotherapy interventions that should be used with caution or even avoided. Amidst the COVID-19 pandemic, reducing the virus spread is a major concern for health agencies and healthcare professionals. Thus, recommendations related to the risk for generating aerosols, the risk of causing excessive energy expenditure and the risk of causing lung injury were provided. It is recommended to use with caution or avoid the use of Venturi mask, face tent oxygen mask, high flow nasal cannula, non-invasive ventilation with single circuit, hyperinflation bag system, moderate-to-high intensity physical exercises, as well as conventional mechanical ventilation settings. The physiotherapist who assists patients with COVID-19 must observe these guidelines to ensure an effective and safe care for both himself/herself and the patient.
Keywords
Referências
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