Ventilatory mechanics reeducation with the use of the post-extubation spirometer in post-COVID-19 patients
DOI:
https://doi.org/10.52428/20756208.v16i40.69Keywords:
COVID-19. Extubation. Spirometer. Ventilatory mechanics.Abstract
The new coronavirus is an infectious disease caused by the SARS-COV-2, which has negative complications. Among the most frequent is the acute distress syndrome, which presents a mild hypoxemia that leads to intubation. That is why research was carried out on the application of the spirometer, and thus decrease the post-extubation effect and improve lung compliance, which is the most common effect after extubation in post-COVID-19 patients. By applying the spirometer, at least according to literature, an optimal result is demonstrated, increasing lung capacity and reducing long-term sequelae.
The reeducation of ventilator mechanics with the use of the spirometer is described and proposed, as it is an instrument that enhances collateral ventilation, which manages to reduce adverse effects after extubation, such as: prolonged dyspnea, mild hypoxia and structural complications in the lung parenchyma in post-COVID-19 patients, reducing long-term sequelae.
Downloads
References
Ponce Lino, L. L., Muñiz Tóala, S. J., Mastarreno Cedeño, M. P., & Villacreses Holguín, G. A.. Secuelas que enfrentan los pacientes que superan el COVID 19. RECIMUNDO, 2020; 4(3); 153-162. https://doi.org/10.26820/recimundo/4.(3).julio.2020.153-162
News B. BBC. [Online].; 2020 [cited 2020 Agosto lunes. Available from: https://www.bbc.com/mundo/noticias-america-latina-51829030.
Potere, N., Valeriani, E., Candeloro, M. et al. Acute complications and mortality in hospitalized patients with coronavirus disease 2019: a systematic review and meta-analysis. Crit Care, 2020; 24, 389. https://doi.org/10.1186/s13054-020-03022-1
Lim, M. A., Pranata, R., Huang, I., Yonas, E., Soeroto, A. Y., & Supriyadi, R. Multiorgan Failure With Emphasis on Acute Kidney Injury and Severity of COVID-19: Systematic Review and Meta-Analysis. Canadian journal of kidney health and disease, 2002; 7, 2054358120938573. https://doi.org/10.1177/2054358120938573
Varatharaj, A., Thomas, N., Ellul, M. A., Davies, N., Pollak, T. A., Tenorio, E. L., Sultan, M., Easton, A., Breen, G., Zandi, M., Coles, J. P., Manji, H., Al-Shahi Salman, R., Menon, D. K., Nicholson, T. R., Benjamin, L. A., Carson, A., Smith, C., Turner, M. R., Solomon, T., … CoroNerve Study Group. Neurological and neuropsychiatric complications of COVID-19 in 153 patients: a UK-wide surveillance study. The Lancet. Psychiatry, 2020, 7(10), 875–882. https://doi.org/10.1016/S2215-0366(20)30287-X
Mo, P., Xing, Y., Xiao, Y., Deng, L., Zhao, Q., Wang, H., Xiong, Y., Cheng, Z., Gao, S., Liang, K., Luo, M., Chen, T., Song, S., Ma, Z., Chen, X., Zheng, R., Cao, Q., Wang, F., & Zhang, Y. Clinical characteristics of refractory COVID-19 pneumonia in Wuhan, China. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2020, ciaa270. Advance online publication. https://doi.org/10.1093/cid/ciaa270
Zhu, N., Zhang, D., Wang, W., Li, X., Yang, B., Song, J., Zhao, X., Huang, B., Shi, W., Lu, R., Niu, P., Zhan, F., Ma, X., Wang, D., Xu, W., Wu, G., Gao, G. F., Tan, W., & China Novel Coronavirus Investigating and Research Team A Novel Coronavirus from Patients with Pneumonia in China, 2019. The New England journal of medicine, 2020, 382(8), 727–733. https://doi.org/10.1056/NEJMoa2001017
Gattinoni, L., Chiumello, D., Caironi, P., Busana, M., Romitti, F., Brazzi, L., & Camporota, L. COVID-19 pneumonia: different respiratory treatments for different phenotypes?. Intensive care medicine, 2020. 46(6), 1099–1102. https://doi.org/10.1007/s00134-020-06033-2
Wittekamp, B. H., van Mook, W. N., Tjan, D. H., Zwaveling, J. H., & Bergmans, D. C. Clinical review: post-extubation laryngeal edema and extubation failure in critically ill adult patients. Critical care (London, England), 2009, 13(6), 233. https://doi.org/10.1186/cc8142
Jibaja M., Sufan J.L. & D.A. Godoy. Controversias en la retirada de la ventilación mecánica y extubación en el paciente neurocrítico. medicina intensiva. 2018; 42(9): p. 551 - 555. https://doi.org/10.1016/j.medin.2018.04.006
Dunn, H., Quinn, L., Corbridge, S. J., Eldeirawi, K., Kapella, M., & Collins, E. G. Mobilization of prolonged mechanical ventilation patients: An integrative review. Heart & lung : the journal of critical care, 2017, 46(4), 221–233. https://doi.org/10.1016/j.hrtlng.2017.04.033
Whittaker, A., Anson, M., & Harky, A. Neurological Manifestations of COVID-19: A systematic review and current update. Acta neurologica Scandinavica, 2020, 142(1), 14–22. https://doi.org/10.1111/ane.13266
Wang, L., Shen, Y., Li, M., Chuang, H., Ye, Y., Zhao, H., & Wang, H. Clinical manifestations and evidence of neurological involvement in 2019 novel coronavirus SARS-CoV-2: a systematic review and meta-analysis. Journal of neurology, 2020; 267(10), 2777–2789. https://doi.org/10.1007/s00415-020-09974-2
Perez Abereu MR, Gomez Tejeda JJ, Dieguez Guach RA. Características clínico-epidemiológicas de la COVID-19. Rev haban cienc méd [Internet]. 2020 [citado 30 Jun 2021];, 19(2):[aprox. 0 p.]. Disponible en: http://www.revhabanera.sld.cu/index.php/rhab/article/view/3254
Chica-Meza C. Peña-López L.A., Villamarín-Guerrero H.F., Moreno-Collazos J.E. Rodríguez-Corredor L.C., Lozano W.M., Vargas-Ordoñez M.P. Cuidado respiratorio en COVID-19. Acta Colombiana de Cuidado Intensivo. 2020; 20(2): 108-117. https://doi.org/ 10.1016/j.acci.2020.04.001
Gómez C, Peñuelas O, Lujan M, Santaolalla C, Masa J, García J. Recomendaciones de consenso respecto al soporte respiratorio no invasivo en el paciente adulto con insuficiencia respiratoria aguda secundaria a infección por SARS-CoV-2.. Archivos de Bronconeumologia. 2020; 2(56). https://doi.org/ 10.1016/j.arbres.2020.03.005
Enríquez M, Fernández M, Fontan G. Consejo General de Enfermeria. [Online].; 2020 [cited 2021 mayo 3] Disponible en: https://www.consejogeneralenfermeria.org/images/coronavirus/documentos/GUIA%20DE%20ACTUACIO%CC%81N%20ENFERMERA%20FRENTE%20AL%20COVID.pdf.
Morales, L.F., & Bermúdez, M.Z. Guía de cuidados de enfermería para el decúbito prono en Síndrome de Distress Respiratorio Agudo asociado a COVID-19: Revisión Integrativa. Revista Médica de Costa Rica 2020; 85 (629): 58-67. Disponible en: http://www.revistamedicacr.com/index.php/rmcr/article/viewFile/293/270
Estensoro E. & Dubin A.. Medicina buenos aires. [Online].; 2016 [cited 2021 mayo 5. Available from: www.medicinabuenosaires.com/PMID/27576283.pdf.
Lovesio C. Medicina Intensiva. Sexta ed. Rosario: Corpus; 2008. Disponible en: https://enfermeriabuenosaires.com/wp-content/uploads/2021/05/Medicina-Intensiva-Lovesio-6-ed.pdf
World Health Organization. World Health Organizacion. [Online].; 2020 [cited 2021 abril 29. Available from: https://apps.who.int/iris/bitstream/handle/10665/332196/WHO-2019-nCoV-clinical-2020.5-eng.pdf?sequence=1&isAllowed=y.
Murphy, G. S., & Brull, S. J.. Residual neuromuscular block: lessons unlearned. Part I: definitions, incidence, and adverse physiologic effects of residual neuromuscular block. Anesthesia and analgesia, 2010; 111(1), 120–128. https://doi.org/10.1213/ANE.0b013e3181da832d
Herbstreit F., Peters J. & Eikermann M. Increased Airway Collapsibility and Blunted Genioglossus Muscle Activity in Response to Negative Pharyngeal Pressure. Anesthesiology 2009; 110:1253–1260 doi: https://doi.org/10.1097/ALN.0b013e31819faa71
Gazabatt S F. . Extubacion dificil. Revista Chilena de Anestesiologia. 2010; 39(2): 167 - 173. Disponible en: https://revistachilenadeanestesia.cl/PII/revchilanestv39n2.12.pdf
Sevim T. Risk factors for permanent laryngeal nerve paralysis in patients with thyroid carcinoma. Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery, 2007; 32(5), 378–383. https://doi.org/10.1111/j.1749-4486.2007.01536.x
Shen, W. T., Kebebew, E., Duh, Q. Y., & Clark, O. H. Predictors of airway complications after thyroidectomy for substernal goiter. Archives of surgery (Chicago, Ill. : 1960), 2004; 139(6), 656–660. https://doi.org/10.1001/archsurg.139.6.656
Krodel, D. J., Bittner, E. A., Abdulnour, R., Brown, R., & Eikermann, M. Case scenario: acute postoperative negative pressure pulmonary edema. Anesthesiology, 2010; 113(1), 200–207. https://doi.org/10.1097/ALN.0b013e3181e32e68
El Hospital. [Online].; 2020 [cited 2021 enero 23. Available from: https://www.elhospital.com/temas/Pacientes-con-COVID-19-atendidos-en-UCI-pueden-tener-complicaciones-a-largo-plazo+134697.
Gutiérrez C. Mónica, Beroiza W. Teresa, Borzone T. Gisella, Caviedes S. Iván, Céspedes G. Juan, Gutiérrez N. Mónica et al . Espirometría: Manual de procedimientos. SERChile. Rev. chil. enferm. respir. [Internet]. 2018 Sep [citado 2021 Jun 30] ; 34( 3 ): 171-188. http://dx.doi.org/10.4067/S0717-73482018000300171.
Adiego M. Modelo Viscoelástico de la Mecánica Respiratoria. XV Seminario de Ingeniería biomédica. Universidad de la República Oriental del Uruguay. 2006. Disponible en: http://www.nib.fmed.edu.uy/Seminario%202006/Trabajos%20estudiantes%202006/Adiego,%20Matias.pdf
Conei Daniel, Rojas Mariana. Factores de Crecimiento Incluidos en Terminologia Embryologica : Análisis Crítico. Int. J. Morphol. [Internet]. 2018 Jun [citado 2021 Jun 30] ; 36( 2 ): 500-506. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022018000200500&lng=es. http://dx.doi.org/10.4067/S0717-95022018000200500.
Ruiz Rabadán M.E., Pareja Plaza P., Ruiz Rabadán M.S. & García Alberti M.. Recuperación funcional tras neumotorax retidos, tratamiento de fisioterapia respiratoria. Apuntes de Ciencia - Boletín Científico HGUCR. 2016; 2: 45-48. Disponible en: https://dialnet.unirioja.es/descarga/articulo/3838887.pdf
Jimenez Vignola Enrique Gary. ficha de evaluacion Kinesico - respiratoria. 2020.
Asenjo D.A. & A. Pinto R. Características anátomo-funcional del aparato respiratorio durante la infancia. REV. MED. CLIN. CONDES - 2017; 28(1) 7-19. Disponible en : https://www.elsevier.es/es-revista-revista-medica-clinica-las-condes-202-pdf-S0716864017300020
Isono S. Obstructive sleep apnea of obese adults: pathophysiology and perioperative airway management. Anesthesiology, 2009;110(4), 908–921. https://doi.org/10.1097/ALN.0b013e31819c74be
Delmas H. Anatomia humana. Masson Paris : Masson; 2005.
Hall Guy. Tratado de fisiologia. Medica Italia : 13 ; 2016.
Lim, M. A., Pranata, R., Huang, I., Yonas, E., Soeroto, A. Y., & Supriyadi, R. Multiorgan Failure With Emphasis on Acute Kidney Injury and Severity of COVID-19: Systematic Review and Meta-Analysis. Canadian journal of kidney health and disease, 2020; 7, 2054358120938573. https://doi.org/10.1177/2054358120938573
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Enrique Gary Jimenez Vignola, Laura Elizabeth Echeverría Villarroel, Mauricio Cabrera Ponce
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License 4.0 that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.