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Evidence-based Physiotherapy and Functionality in Adult and Pediatric patients with COVID-19

Authors

  • Cássio Magalhães da Silva e Silva Departamento de Fisioterapia, Universidade Federal da Bahia (UFBA) – Salvador (BA)
  • Aline do Nascimento Andrade Hospital Ana Nery (HAN) – São Paulo (SP)
  • Balbino Nepomuceno Hospital Aliança (HA) - Salvador (BA)
  • Daniel Salgado Xavier Secretaria Municipal de Saúde (SMS) – Manaus (AM)
  • Eugênia Lima Hospital Tereza de Lisieux (HTL) - Salvador (BA)
  • Iura Gonzalez Escola Bahiana de Medicina e Saúde Pública (BAHIANA) - Salvador (BA)
  • Mateus Souza Esquivel Núcleo de Fisioterapia Respiratória e Cardiovascular do GNAP
  • Michelli Christina Magalhães Novais Centro Universitário Jorge Amado
  • Paulo Magalhães Universidade de Pernambuco (UPE) – Recife (PE)
  • Robson da Silva Almeida Faculdade Madre Thaís
  • Vinícius Afonso Gomes Faculdade Ruy Barbosa-Wyde
  • Vitor Oliveira Carvalho Universidade Federal de Sergipe (UFS) – Aracaju (SE)
  • Wiron Correia Lima Filho Sociedade Brasileira de Fisioterapia
  • Oséas Florêncio de Moura Filho Sociedade Brasileira de Fisioterapia
  • Mansueto Gomes Neto Departamento de Fisioterapia, Universidade Federal da Bahia (UFBA) – Salvador (BA)

DOI:

https://doi.org/10.7322/jhgd.v30.10086

Keywords:

Physiotherapy, International Classification of Functionality, Disability and Health, Hypoxia

Abstract

Introduction: The new corona virus (2019-nCoV OR HCOV-19 or CoV2), has emerged in China as the main cause of viral pneumonia (COVID-19, Coronavirus Disease-19).

Objective: To provide evidence-based Physiotherapy and functionality in patients with adult and pediatric COVID-19.

Methods: This is an integrative literature review using the MedLine / PubMed databases, library of Latin American and Caribbean Literature in Health Sciences (LILACS) and Physiotherapy Evidence Database (PEDRo).

Results: Part of the patients with covid 19 show signs of respiratory deficiency with hypoxemia, with low severity in children. Impaired functionality is also expected.

Conclusion: COVID-19 causes low pulmonary compliance and important changes in lung function with hypoxemia and cardiovascular repercussions. These changes lead to the need for Physiotherapy and the management of oxygen therapy and ventilatory support (invasive and non-invasive) for these patients.

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Author Biographies

  • Cássio Magalhães da Silva e Silva, Departamento de Fisioterapia, Universidade Federal da Bahia (UFBA) – Salvador (BA)

    Fisioterapeuta

  • Aline do Nascimento Andrade, Hospital Ana Nery (HAN) – São Paulo (SP)

    Fisioterapeuta

  • Balbino Nepomuceno, Hospital Aliança (HA) - Salvador (BA)

    Fisioterapeuta

  • Daniel Salgado Xavier, Secretaria Municipal de Saúde (SMS) – Manaus (AM)

    Fisioterapeuta

  • Eugênia Lima, Hospital Tereza de Lisieux (HTL) - Salvador (BA)

    Fisioterapeuta

  • Iura Gonzalez, Escola Bahiana de Medicina e Saúde Pública (BAHIANA) - Salvador (BA)

    Fisioterapeuta

  • Mateus Souza Esquivel, Núcleo de Fisioterapia Respiratória e Cardiovascular do GNAP

    Fisioterapeuta

  • Michelli Christina Magalhães Novais, Centro Universitário Jorge Amado

    Fisioterapeuta

  • Paulo Magalhães, Universidade de Pernambuco (UPE) – Recife (PE)

    Fisioterapeuta

  • Robson da Silva Almeida, Faculdade Madre Thaís

    Fisioterapeuta

  • Vinícius Afonso Gomes, Faculdade Ruy Barbosa-Wyde

    Fisioterapeuta

  • Vitor Oliveira Carvalho, Universidade Federal de Sergipe (UFS) – Aracaju (SE)

    Fisioterapeuta

  • Wiron Correia Lima Filho, Sociedade Brasileira de Fisioterapia

    Fisioterapeuta

  • Oséas Florêncio de Moura Filho, Sociedade Brasileira de Fisioterapia

    Fisioterapeuta

  • Mansueto Gomes Neto, Departamento de Fisioterapia, Universidade Federal da Bahia (UFBA) – Salvador (BA)

    Fisioterapeuta

References

Bogoch II, Watts A, Thomas-Bachli A, Huber C, Kraemer MUG, Khan K. Potential for global spread of a novel coronavirus from China. J Travel Med. 2020; 27(2):taaa011. DOI: http://doi.org/10.1093/jtm/taaa011

Lu R, Zhao X, Li J, Peihua N, Bo yang, Hoglong Hu, et al. Genomic characterization and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. Lancet. 2020; 395(10224):565-74. DOI: ttp://doi.org/10.1016/S0140-6736(20)30251-8

National Health Committee of the People's Republic of China. Notice of the National Health Committee on the provisional naming of new coronavirus pneumonia. [cited 2020 Feb 12] Available from: http://.nhc.gov.cn/mohwsbwstjxxzx/s2908/202002/f15dda000f6a46b2a1

ea1377cd80434d.shtml

World Health Organization (WHO). WHO Director-General's remarks at the media briefing on 2019-nCoV on 11 February 2020. [cited 2020 Feb 12] Available from: https://www.who.int/dg/speeches/detail/who-director-general-s-remarks-at-the-media-briefing-on-2019-ncov-on-11-february-2020

Yang J, Zheng Y, Gou X, Pu K, Chen Z, Guo Q, et al. Prevalence of comorbidities in the novel Wuhan coronavirus (COVID-19) infection: a systematic review and meta-analysis. Int J Infect Dis. 2020;S1201-9712(20)30136-3. DOI: http://doi.org/10.1016/j.ijid.2020.03.017

World Health Organisation (WHO). Coronavirus disease 2019 (COVID-19) Situation Report, 46. [cited 2020 Feb 12] Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports

Guan W, Ni ZY, Hu Y, Liang L, Ou C, He J, et al. Clinical characteristics of Corona virus Disease 2019 in China. New Engl J Med. 2020. DOI: http://doi.org/10.1056/NEJMoa2002032

Inciardi RM, Lupi L, Zaccone G, Italia L, Raffo M, Tomasoni D, et al. Cardiac Involvement in a Patient With Coronavirus Disease 2019 (COVID-19). Jama Cardiol. 2020. DOI: http://doi.org/10.1001/jamacardio.2020.1096

Madjid M, Safavi-Naeini P, Solomon SD, Vardeny O. Potential Effects of Coronaviruses on the Cardiovascular System A Review. Jama Cardiol. 2020. DOI: http://doi.org/10.1001/jamacardio.2020.1286

Bispo Júnior JP. Fisioterapia e saúde coletiva: Desafios e novas responsabilidades profissionais. Cienc Saude Coletiva. 2010;15(Supl.1):1627-36. DOI: https://doi.org/10.1590/S1413-81232010000700074

Xia W, Shao J, Guo Y, Peng X, Li Z, Hu D. Clinical and CT features in pediatric patients with COVID-19 infection: Different points from adults. Pediatr Pulmonol. 2020. DOI: https://doi.org/10.1002/ppul.24718

Guanghai WYZ, Jin Z, Jun Z, Fan J. Mitigate the effects of home confinement on children during the COVID-19 outbreak. Lancet. 2020;395(10228):945-7. DOI: https://doi.org/10.1016/S0140-6736(20)30547-X

Bouadma L, Lescure FX, Lucet JC, Yazdanpanah Y, Timsit JF. Severe SARS-CoV-2 infections: practical considerations and management strategy for intensivists. Intensive Care Med. 2020;46(4):579-82. DOI: https://doi.org/10.1007/s00134-020-05967-x

Xu Z, Shi L, Wang Y, Zhang J, Huang L, Zhang C, et al. Pathological findings of COVID-19 associated with acute respiratory distress syndrome. Lancet Respir Med. 2020;8(4):420-422. DOI: https://doi.org/110.1016/S2213-2600(20)30076-X

Cai J, Xu J, Lin D, Yang Z, Xu L, Qu Z, et al. A Case Series of children with 2019 novel coronavirus infection: clinical and epidemiological features. Clin Infect Dis. 2020: ciaa198. DOI: https://doi.org/10.1093/cid/ciaa198

Shen K, Yang Y, Wang T, Zhao D, Jiang Y, Jin R, et al. Diagnosis, treatment, and prevention of 2019 novel coronavirus infection in children: experts’ consensus statement. World J Pediatr. 2020. DOI: https://doi.org/10.1007/s12519-020-00343-7

Respiratory care committee of Chinese Thoracic Society. Expert consensus on preventing nosocomial transmission during respiratory care for critically ill patients infected by 2019 novel coronavirus pneumonia. Zhonghua Jie He He Hu Xi Za Zhi. 2020;17(0):E020. DOI: https://doi.org/10.3760/cma.j.issn.1001-0939.2020.0020

van den Boom W, Hoy M, Sankaran J, Liu M, Chahed H, Feng M, et al. The Search for Optimal Oxygen Saturation Targets in Critically Ill Patients: Observational Data From Large ICU Databases. Chest. 2020;157:566-73 DOI: https://doi.org/10.1016/j.chest.2019.09.015

Alhazzani W, Møller MH, Arabi YM, Loeb M, Gong MN, Fan E, et al. Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19). Intensive Care Med. 2020. DOI: https://doi.org/10.1007/s00134-020-06022-5

Thomas P, Baldwin C, Bissett B, Boden I, Gosselink R, Granger CL, et al. Physiotherapy management for COVID-19 in the acute hospital setting: clinical practice recommendations. J Physiother. 2020. DOI: https://doi.org/10.1016/j.jphys.2020.03.011

Cheung JC, Ho LT, Cheng JV, Cham EYK, Lam KN. Staff safety during emergency airway management for COVID-19 in Hong Kong. Lancet Respir Med. 2020;8(4):e19. DOI: https://doi.org/10.1016/S2213-2600(20)30084-9

Meng L, Qiu H, Wan L, Ai Y, Xue Z, Guo Q, et al. Intubation and Ventilation amid the COVID-19 Outbreak: Wuhan’s Experience. Anesthesiology. 2020. DOI: https://doi.org/10.1097/ALN.0000000000003296

Murthy S, Gomersall CD, Fowler RA. Care for Critically Ill Patients With COVID-19. JAMA. 2020. DOI: https://doi.org/10.1001/jama.2020.3633

Wax RS, Christian MD. Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patients. Can J Anaesth. 2020. DOI: https://doi.org/10.1007/s12630-020-01591-x

Brewster DJ, Chrimes NC, Do T, Fraser K, Groombridge C, Higgs A, et al. Consensus statement: Safe Airway Society principles of airway management and tracheal intubation specific to the COVID-19 adult patient group. Med J Aust. 2020.

Ruan Q, Yang K, Wang W, Jiang L, Song J. Clinical predictors of mortality due to COVID-19 based on an analysis of data of 150 patients from Wuhan, China. Intensive Care Med. 2020. DOI: https://doi.org/10.1007/s00134-020-05991-x

Simonds AK, Hanak A, Chatwin M, Hall A, Parker KH, Siggers JH, Dickinson RJ. Evaluation of droplet dispersion during non-invasive ventilation, oxygen therapy, nebuliser treatment and chest physiotherapy in clinical practice: implications for management of pandemic influenza and other airborne infections. Health Technol Assess. 2010;14(46):131-72. DOI: https://doi.org/10.3310/hta14460-02

Chen C, Zhao B. Makeshift hospitals for COVID-19 patients: where health-care workers and patients need sufficientventilation for more protection. J Hosp Infect. 2020: S0195-6701(20)30107-9. DOI: https://doi.org/10.1016/j.jhin.2020.03.008

Christian MD, Loutfy M, McDonald C, Martinez KF, Ofner M, Wong T, et al. Possible SARS coronavirus transmission during cardiopulmonary resuscitation. Emerg Infect Dis. 2004;10(2):287-93. DOI: https://doi.org/10.3201/eid1002.030700

Yu IT, Xie ZH, Tsoi KK, Chiu YL, Lok SW, Tang XP, et al. Why did outbreaks of severe acute respiratory syndrome occur in some hospital wards but not in others? Clin Infect Dis. 2007;44(8):1017-25. DOI: https://doi.org/10.1086/512819

Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA 2020. DOI: https://doi.org/10.1001/jama.2020.1585

Hui DS, Chow BK, Lo T, Ng SS, Ko FW, Gin T, et al. Exhaled air dispersion during noninvasive ventilation via helmets and a total facemask. Chest. 2015;147(5):1336-43. DOI: https://doi.org/10.1378/chest.14-1934

Yang X, Yu Y, Xu J, Shu H, Xia J, Liu H, et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. Lancet Respir Med. 2020:S2213-2600(20)30079-5. DOI: https://doi.org/10.1016/S2213-2600(20)30079-5

Guan L, Zhou L, Zhang J, Peng W, Chen R. More awareness is needed for severe acute respiratory syndrome coronavirus 2019 transmission through exhaled air during non-invasive respiratory support: experience from China. Eur Respir J. 2020;55(3): 2000352. DOI: https://doi.org/10.1183/13993003.00352-2020

Lazzerri M, Lanza A, Bellini R, Bellofiori A, Cecchetto S, Colombo A, et al. Respiratory Physiotherapy in patients with COVID-19 infection in acute setting: a Position paper of the Italian Association of Respiratory Physiotherapists (ARIR). Monaldi Arch Chest Dis. 2020; 90(1). DOI: https://doi.org/10.4081/monaldi.2020.1285

Airway management of COVID-19 patients with severe pneumonia. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Feb 26;55(4):E001. DOI: https://doi.org/10.3760/cma.j.issn.1673-0860.2020.04.001

Xie J, Tong Z, Guan X, Du B, Qiu H, Slutsky AS. Critical care crisis and some recommendations during the COVID-19 epidemic in China. Intensive Care Med. 2020. DOI: https://doi.org/10.1007/s00134-020-05979-7

Alhazzani W, Møller MH, Arabi YM, Loeb M, Gong MN, Fan E, et al. Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19). Intensive Cara Med. 2020. DOI: https://doi.org/10.1007/s00134-020-06022-5

Siqueira LTD. Impacto dos aspectos respiratórios e vocais na qualidade de vida do idoso. Dissertação (Mestrado) - Faculdade de Odontologia de Bauru, Universidade de São Paulo. Bauru: 2013. DOI: https://doi.org/10.11606/D.25.2013.tde-05062013-153747

Fabron EMG, Sebastião LT, Oliveira GAG, Motonaga SM. Medidas da dinâmica respiratória em idosos participantes de grupos de terceira idade. Rev Cefac 2011;13(5):895-01. DOI: https://doi.org/10.1590/S1516-18462011005000034

Scalan CL, Wilkins RK, Stoller J. Fundamentos da terapia respiratória de Egan. São Paulo: Manole, 2000.

Beardsell I, Bell S, Robinson S, Rumbold H, Hulbert D. MCEM Part A: MCQs. Londo: Royal Society of Medicine Press, 2009. [cited 2020 Apr 20] Available from: https://www.worldcat.org/title/mcem-part-a-mcqs/oclc/645632705

Rajesh C, Todi S. ICU Protocols. A Step-wise Approach. Vol I. Second Edition. Springer, 2020. DOI: https://doi.org/10.1007/978-981-15-0898-1

Lu Q, Rouby JJ. Measurement of pressure-volume curves in patients on mechanical ventilation: methods and significance. Crit Care. 2000;4(2):91-100. DOI: https://doi.org/10.1186/cc662

Wong HYF, Lam HYS, Fong AH, Leung ST, Chin TWY, Lo CSY, et al. Frequency and Distribution of Chest Radiographic Findings in COVID-19 Positive Patients. Radiology. 2019;201160. DOI: https://doi.org/10.1148/radiol.2020201160

Wu J, Wu X, Zeng W, Guo D, Fang Z, Chen L, et al. Chest CT findings in patients with corona virus disease 2019 and its relationship with clinical features. Invest Radiol. 2020;55(5):257-61. DOI: https://doi.org/10.1097/RLI.0000000000000670

Silva C, Silva-Pinto A, Santos L, Tavares M, Sarmento A. From the emergency of a novel human virus to the global spread of a new disease. [cited 2020 Mar 03] Available from: https://ispup.up.pt/news/internal-news/from-the-emergency-of-a-novel-human-virus-to-the-global-spread-of-a-new-disease/906.html/

World Health Organization (WHO). Clinical management of severe acute respiratory infection when Novel coronavirus (2019-nCoV) infection is suspected: Interim Guidance. [cited 2020 Jan 28] Available from: https://www.who.int/publications-detail/clinical-management-of-severe-acute-respiratory-infection-when-novel-coronavirus-(ncov)-infection-is-suspected

Rodriguez M, Thille AW, Boissier F, Veinstein A, Chatellier D, Robert R, et al. Predictors of successful separation from high-fow nasal oxygen therapy in patients with acute respiratory failure: a retrospective monocenter study. Intensive Care. 2019;9(1):101. DOI: https://doi.org/10.1186/s13613-019-0578-8

Roca O, Caralt B, Messika J, Samper M, Sztrymf B, Hernández G, et al. An index combining respiratory rate and oxygenation to predict outcome of nasal high flow therapy. Am J Respir Care Med. 2019;119(11):1368-76. DOI: https://doi.org/10.1164/rccm.201803-0589OC

Neder JA, Andreoni S, Lerario MC, Nery LE. Reference values for lung function tests. II. Maximal respiratory pressures and voluntary ventilation. Braz J Med Biol Res. 1999;32(6):71. DOI: https://doi.org/10.1590/S0100-879X1999000600007

Paula P. Correlação entre o pico do fluxo da tosse e os parâmetros clínicos e funcionais nas doenças neuromusculares. Dissertação (Mestrado) - Faculdade de Medicina da Universidade Federal de Minas Gerais. Belo Horizonte: 2010.

Matos L, Rabahi M. Manejo respiratório em doenças neuromusculares: revisão de literatura. Rev. Educ. Saúde. 2017;5(2):121-29. DOI: https://doi.org/10.29237/2358-9868.2017v5i2.p121-129

American College of Sports Medicine. Diretrizes do ACSM para os testes de esforço e sua prescrição. 7 ed. Rio de Janeiro: Guanabara Koogan, 2007.

Pollack MM, Holubkov R, Funai T, Clark A, Moler F, Shanley T, et al. Relationship between the functional status scale and the pediatric overall performance category and pediatric cerebral performance category scales. JAMA Pediátrico. 2014;168(7):671-76. DOI: https://doi.org/10.1001/jamapediatrics.2013.5316

Xia W, Shao J, Guo Y, Peng X, Li Z, Hu D. Clinical and CT features in pediatric patients with COVID-19 infection: different points from adults. Pediatric Pulmonol. 2020;55(5):1169-174. DOI: https://doi.org/10.1002/ppul.24718

Zhu H, Wang L, Fang C, Pang S, Zhang L, Chang G, et al. Clinical analysis of 10 neonates born to mothers with 2019-nCoV pneumonia. Translat Pediatr. 2020; 9(1):51-60. DOI: https://doi.org/10.21037/tp.2020.02.06

Wei M, Yuan J, Liu Y, Fuo T, Yu X, Zhang ZJ. Novel coronavirus infection in hospitalized infants under 1 year of age in China. JAMA. 2020. DOI: https://doi.org/10.1001 / jama.2020.2131

Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020;382(8):727-33. DOI: https://doi.org/10.1056/NEJMoa2001017

Lu Q, Shi Y. Coronavirus disease (COVID-19) and neonate: What neonatologist need to know. J Med Virol. 2020:92(6);564-67. DOI: https://doi.org/10.1002/jmv.25740

Subspecialty Group of Respiratory Diseases, The Society of Pediatrics, Chinese Medical Association; Editorial Board, Chinese Journal of Pediatrics. Guidelines for management of community acquired pneumonia in children (the revised edition of 2013). Zhonghua Er Ke Za Zhi. 2013;51(10):745-52.

Harris M, Clark J, Coote N, Fletcher P, Harnden Um, McKean M, et al. British Thoracic Society guidelines for themanagement of community acquired pneumonia in children: update 2011. Thorax. 2011;6(suppl 2);ii1-23. DOI: https://doi.org/10.1136/thoraxjnl-2011-200598

Bradley J, Byington CL, Shah SS, Alverson B, Carter ER, Harrison C, et al. The management of community-acquired pneumonia in infants and children older than 3 months of age: clinical practice guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America. Clin Infect Dis. 2011;53(7):e25-76. DOI: https://doi.org/10.1093/cid/cir531

World Health Organization (WHO). WHO Statement Regarding Cluster of Pneumonia Cases in Wuhan, China. 2020. [cited 2020 Mar 31] Available from: https://www.who.int/health-topics/coronavirus

Inciardi RM, Lupi L, Zaccone G, Italia L, Raffo M, Tomasoni D, et al. Cardiac Involvement in a Patient With Coronavirus Disease 2019 (COVID-19). JAMA Cardiol, 2020. DOI: https://doi.org/10.1001/jamacardio.2020.1096

Bispo Júnior JP. Fisioterapia e saúde coletiva: Desafios e novas responsabilidades profissionais. Cienc Saude Coletiva. 2010;15(Suppl. 1):1627-36. DOI: https://doi.org/10.1590/s1413-81232010000700074

Herdy AH, López-Jiménez F, Terzic CP, Milani M, Stein R, Carvalho T, et al. Diretriz Sul-Americana de Prevenção e Reabilitação Cardiovascular. Soc Bras Cardiol. 2014;103(2 Supl. 1):1-31.

Rocha ARM, Martinez BP, Silva VZM, Forgiarini Junior LA. Early mobilization: Why, what for and how? Med Intensiva. 2017;41(7):429-36. DOI: https://doi.org/10.1016/j.medin.2016.10.003

Bassan R, Pimenta L, Leães PE, Timerman A. I Diretriz de dor torácica na sala de emergência. Arq Bras Cardiol. 2002;79(Supl 2):1–22. DOI: https://doi.org/10.1590/S0066-782X2002001700001

Stiller K. Safety issues that should be considered when mobilizing critically ill patients. Crit Care Clin. 2007;23(1):35-53. DOI: https://doi.org/10.1016/j.ccc.2006.11.005

Stiller K, Phillips A. Safety aspects of mobilising acutely ill inpatients. Physiother Theory Pract. 2003;19(4):239-57. DOI: https://doi.org/10.1080/09593980390246751

Diretrizes do ACMS para os testes de esforço e sua prescrição. 9 ed. Rio de Janeiro: 2016.

Zhonghua JHHHXZZ. Recommendations for respiratory rehabilitation of COVID-19 in adult. Chinese Association of Rehabilitation Medicine; Respiratory rehabilitation committee of Chinese Association of Rehabilitation Medicine; Cardiopulmonary rehabilitation Group of Chinese Society of Physicai Medicine and Rehabilitation. 2020;43(0):E029. DOI: https://doi.org/10.3760/cma.j.cn112147-20200228-00206

Morsch ALBC, Amorim MM, Barbieri A, Santoro lL, Fernandes ALG. Influência da técnica de pressão expiratória positiva oscilante e da técnica de expiração forçada na contagem de células e quantidade do escarro induzido em portadores de asma ou doença pulmonar obstrutiva crônica. Bras Pneumol. 2008;34(12):1026-032. DOI: https://doi.org/10.1590/S1806-37132008001200007

Tambascio J, Souza LT, Lisboa RM, Passarelli RC, Souza HC, Gastaldi AC. The influence of Flutter® VRP1 components on mucus transport of patients with bronchiectasis. Respir Med. 2011;105(9):1316-21. DOI: https://doi.org/10.1016/j.rmed.2011.04.017

Latronico N, Bolton CF. Critical illness polyneuropathy and myopathy: a major cause of muscle weakness and paralysis. Lancet Neurol. 2011;10(10):931-41. DOI: https://doi.org//10.1016/S1474-4422(11)70178-8

Needham DM, Wozniak AW, Hough CL, Morris PE, Dinglas VD, Jackson JC, et al. Risk factors for physical impairment after acute lung injury in a national, multicenter study. Am J Respir Crit Care Med. 2014;189(10):1214-24. DOI: https://doi.org/10.1164/rccm.201401-0158OC

Jonghe B, Sharshar T, Lefaucheur JP, Outin H. Critical illness neuromyopathy. Clin Pulm Med. 2005;12(2):90-6. DOI: https://doi.org/10.1097/01.cpm.0000156639.67261.19

Hermans G, Clerckx B, Vanhullebusch T, Segers J, Vanpee G, Robbeets C, et al. Interobserver agreement of Medical Research Council sumscore and handgrip strength in the intensive care unit. Muscle Nerve. 2012;45(1):18-25. DOI: https://doi.org/10.1002/mus.22219

Parry SM, Berney S, Granger CL, Dunlop DL, Murphy L, El-Ansary D, et al. A new two-tier strength assessment approach to the diagnosis of weakness in intensive care: an observational study. Crit Care. 2015;19:52. DOI: https://doi.org/10.1186/s13054-015-0780-5

Vanpee G, Hermans G, Segers J, Gosselink R. Assessment of limb muscle strength in critically ill patients: a systematic review. Crit Care Med. 2014;42(3):701-11. DOI: https://doi.org/10.1097/CCM.0000000000000030

Organização Mundial da Saúde (OMS) Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF). São Paulo: Edusp; 2003.

Denehy L, Morton NA, Skinner EH, Edbrooke L, Haines K, Warrillow S, et al. A physical function test for use in the intensive care unit: validity, responsiveness, and predictive utility of the physical function ICU test (scored). Phys Ther. 2013;93(12):1636-45. DOI: https://doi.org/10.2522/ptj.20120310

Franca EET, Ferrari F, Fernandes P, Cavalcanti R, Duarte A, Martinez BP, et al. Fisioterapia em pacientes críticos adultos: recomendações do Departamento de Fisioterapia da Associação de Medicina Intensiva Brasileira. Rev Bras Ter Intensiva. 2012;24(1):6-22. DOI: https://doi.org/10.1590/S0103-507X2012000100003

Cai J, Xu J, Lin D, Yang Z, Xu L, Qu Z, et al. A Case Series of children with 2019 novel coronavirus infection: clinical and epidemiological features. Clin Infect Dis. 2020;pii:ciaa198. DOI: https://doi.org/10.1093/cid/ciaa198

China CDC Weekly. The Epidemiological Characteristics of an Outbreak of 2019 Novel Coronavirus Diseases (COVID-19) in China. Zhonghua Liu Xing Bing Xue Za Zhi. 2020;41(2):145-51. DOI: https://doi.org/10.3760/cma.j.issn.0254-6450.2020.02.003

Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-06. DOI: https://doi.org/10.1016/S0140-6736(20)30183-5

American Academy of Pediatrics. 2019 Novel Coronavirus (COVID-19). [cited 2020 Mar 31] Available from: https://www.healthychildren.org/English/health-issues/conditions/chest-lungs/Pages/2019-Novel-Coronavirus.aspx

Cameron S, Ball I, Cepinskas G, Choong K, Doherty TJ, Ellis CG, et al. Early mobilization in the critical care unit: A review of adult and pediatric literature. J Crit Care. 2015;30(4):664-72. DOI: https://doi.org/10.1016/j.jcrc.2015.03.032

Stollings JL, Devlin JW, Lin JC, Pun BT, Byrum D, Barr J. Best Practices for Conducting Interprofessional Team Rounds to Facilitate Performance of the ICU Liberation (ABCDEF) Bundle. Crit Care Med. 2019;48(4):562–70. DOI: https://doi.org/10.1097/CCM.0000000000004197

Oliveira MC, Ortiz Sobrinho C, Orsini M. Comparação entre o método Reequilíbrio Toracoabdominal e a fisioterapia respiratória convencional em recém-nascidos com taquipneia transitória: um ensaio clínico randomizado. Fisioter Bras. 2017;18(5):598-607.

Oliveira EAR, Gomes ELFD. Evidência científica das técnicas atuais e convencionais de fisioterapia respiratória em pediatria. Fisioter Bras. 2016;17(1):88-97.

Respiratory Care Committee of Chinese Thoracic Society. Expert consensus on preventing nosocomial transmission during respiratory care for critically ill patients infected by 2019 novel coronavirus pneumonia. Zhonghua Jie He He Hu Xi Za Zhi. 2020;17(0):E020. DOI: https://doi.org/10.3760/cma.j.issn.1001-0939.2020.0020

Abdulsatar F, Walker RG, Timmons BW, Choong K. “Wii-Hab” in critically ill children: A pilot trial. J Pediatr Rehabil Med. 2013;6(4):193-204. DOI: https://doi.org/10.3233/PRM-130260

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Atenção à Saúde do recém-nascido: guia para os profissionais de saúde. 2 ed. Volume 2. 2012; p.1-202.

Dong Y, Mo X, Hu Y, Qi X, Jiang F, Jiang Z, et al. Epidemiological Characteristics of 2143 Pediatric Patients With 2019 Coronavirus Disease in China. Pediatrics. 2020;16:pii:e20200702. DOI: https://doi.org/10.1542/peds.2020-0702

Marraro GA, Spada C. Consideration of the respiratory support strategy of severe acute respiratory failure caused by SARS-CoV-2 infection in children. Chin J Contemp Pediatr. 2020;22(3):183-94. DOI: https://doi.org/10.7499/j.issn.1008-8830.2020.03.002

Zhan Q, Sun B, Wang C. Early Use of Noninvasive Positive Pressure Ventilation for Acute Lung Injury: A Multicenter Randomized Controlled Trial. Crit Care Med. 2012;40(2):455-460. DOI: https://doi.org/10.1097/CCM.0b013e318232d75e

Pediatric Acute Lung Injury Consensus Conference Group. Pediatric Acute Respiratory Distress Syndrome: Consensus Recommendations from the Pediatric Acute Lung Injury Consensus Conference. Pediatr Crit Care Med. 2015;16(5):428-39. DOI: https://doi.org/10.1097/PCC.0000000000000350

Curley MA, Thompson JE AJ. The effects of early and repeated prone positioning in pediatric patients with acute lung injury. Chest. 2000;118(1):156-63. DOI: https://doi.org/10.1378/chest.118.1.156

Tran K, Cimon K, Severn M, Pessoa-Silva CL, Conly J. Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers: a systematic review. PLoS One. 2012;7:e35797. DOI: https://doi.org/10.1371/journal.pone.0035797

Word Health Organization (WHO). Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected. Interim guidance 13 March 2020. [cited 2020 Mar 31] Available from: https://www.who.int/docs/default-source/coronaviruse/clinical-management-of-novel-cov.pdf

Liao X, Wang B, Kan Y. Novel coronavirus infection during the 2019-2020 epidemic: preparing intensive care units - the experience in Sichuan Province, China. Intensive Care Med. 2020;46:357-60. DOI: https://doi.org/10.1007/s00134-020-05954-2

Sorbini CA, Grassi V, Solinas E, Muiesan G. Arterial oxygen tension in relation to age in healthy subjects. Respiration. 1968;25(1):3-13. DOI: https://doi.org/10.1159/000192549

Ranieri VM, Rubenfeld GD, Thompson BT, Ferguson ND, Caldwell E, Fan E, et al. Acute respiratory distress syndrome: the Berlin Definition. JAMA. 2012; 307(23):2526-33. DOI: https://doi.org/10.1001/jama.2012.5669

Fowler RA, Guest CB, Lapinsky SE, Sibbald WJ, Louie M, Tang P, et al. Transmission of Severe Acute Respiratory Syndrome during Intubation and Mechanical Ventilation. Am J Respir Crit Care Med. 2004;169(11):1198-202. DOI: https://doi.org/10.1164/rccm.200305715OC

Xiao Z, Li Y, Chen R, Li S, Zhong S, Zhong N. A retrospective study of 78 patients with severe acute respiratory syndrome. Chin Med J (Engl). 2003;116(6):805-10.

Hui DS, Chow BK, Lo T, Ng SS, Ko FW, Gin T, Chan MTV. Exhaled Air Dispersion During Noninvasive Ventilation via Helmets and a Total Facemask. Chest. 2015;147(5):1336-43. DOI: https://doi.org/10.1378/chest.14-1934

Hraiech S, Alingrin J, Dizier S, Brunet J, Forel JM, La Scola B, et al. Time to intubation is associated with outcome in patients with community-acquired pneumonia. PLoS One. 2013;8(9):e74937. DOI: https://doi.org/10.1371/journal.pone.0074937

Xu XP, Zhang XC, Hu SL, Xu JY, Xie JF, Liu SQ, et al. Noninvasive Ventilation in Acute Hypoxemic Nonhypercapnic Respiratory Failure: A Systematic Review and Meta-Analysis. Critical care medicine. 2017;45(7):e727-e733. DOI: https://doi.org/10.1097/CCM.0000000000002361

Alraddadi BM, Qushmaq I, Al-Hameed FM, Mandourah Y, Almekhlafi GA, Jose J, et al. Noninvasive ventilation in critically ill patients with the Middle East respiratory syndrome. Influenza Other Respir Viruses. 2019;13(4):382-90. DOI: https://doi.org/10.1111/irv.12635

Agarwal R, Aggarwal AN, Gupta D. Role of Noninvasive Ventilation in Acute Lung Injury/Acute Respiratory Distress Syndrome: A Proportion Meta-analysis. Resp Care. 2010;55(12):1653-60.

Meng L, Qiu H, Wan L, Ai Y, Xue Z, Guo Q, et al. Intubation and Ventilation amid the COVID-19 Outbreak: Wuhan’s Experience. Anesthesiology. 2020. DOI: https://doi.org/10.1097/ALN.0000000000003296

Arabi YM, Arifi AA, Balkhy HH, Najm H, Aldawood AS, Ghabashi A, et al. Clinical Course and Outcomes of Critically Ill Patients With Middle East Respiratory Syndrome Coronavirus Infection. Ann Intern Med. 2014;160(6):389-97. DOI: https://doi.org/10.7326/M13-2486

Antonelli M, Conti G, Moro ML, Esquinas A, Gonzalez-Diaz G, Confalonieri M. et al. Predictors of failure of noninvasive positive pressure ventilation in patients with acute hypoxemic respiratory failure: A multi-center study. Intensive Care Med. 2001;27(11):1718-28. DOI: https://doi.org/10.1007/s00134-001-1114-4

Atkinson J, Chartier Y, Pessoa-Silva CK, Jensen P, Li Y, Seto WH. Natural ventilation for infection control in health-care settings. Geneva: World Health Organization, 2009.

World Health Organization (WHO). Infection Prevention and Control during Health Care when Novel Coronavirus (nCoV) Infection is Suspected. [cited 2020 Mar 31] Available from: https://www.who.int/publications-detail/infection-prevention-and-control-during-health-care-when-novel-coronavirus-(ncov)-infection-is-suspected-20200125

Hui DS. Influenza A/H5N1 infection: other treatment options and issues. Respirology. 2008;13(suppl 1):S22-6. DOI: https://doi.org/10.1111/j.1440- 1843.2008.01250.x

Conti G, Larrsson A, Nava S, Navalesi P. On the role of non-invasive ventilation (NIV) to treat patients during the H1N1 influenza pandemic. [cited 2020 Mar 31] Available from: http://dev.ersnet.org/uploads/Document/63/WEB CHEMIN 5410 1258624143.pdf

Hui DS, Hall SD, Chan MTV, Chow BK, Tsou JY, Joynt GM, et al. Noninvasive positive-pressure ventilation: An experimental model to assess air and particle dispersion. Chest. 2006;130(3):730-40. DOI: https://doi.org/10.1378/chest.130.3.730

Ricard JD, Markowicz P, Djedaini K, Mier L, Coste F, Dreyfuss D. Bedside evaluation of efficient airway humidification during mechanical ventilation of the critically ill. Chest. 1999;115(6):1646-52. DOI: https://doi.org/10.1378/chest.115.6.1646

Davis KJr, Evans SL, Campbell RS, Johannigman JA, Luchette FA, Porembka DT, et al. Prolonged use of heat and moisture exchangers does not affect device efficiency or frequency rate of nosocomial pneumonia. Crit Care Med. 2000;28(5):1412-28. DOI: https://doi.org/10.1097/00003246-200005000-00026

Boisson C, Viviand X, Arnaud S, Thomachot L, Miliani Y, Martin C. Changing a hydrophobic heat and moisture exchanger after 48 hours rather than 24 hours: a clinical and microbiological evaluation. Intensive Care Med 1999;25(11):1237-43. DOI: https://doi.org/10.1007/s001340051051

Patel BK, Wolfe KS, Pohlman AS, Hall JB, Kress JP. Effect of Noninvasive Ventilation Delivered by Helmet vs Face Mask on the Rate of Endotracheal Intubation in Patients With Acute Respiratory Distress Syndrome: A Randomized Clinical Trial. JAMA. 2016;315(22):2435-41. DOI: https://doi.org/10.1001/jama.2016.6338

Chan JFW, Yuan S, Kok KH, KKW To, Chu H, Yang J, et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person to-person transmission: a study of a family cluster. Lancet. 2020;395(10223)::514-23. DOI: https://doi.org/10.1016/S0140-6736(20)30154-9

Yang X, Yu Y, Xu J, Shu H, Xia J, Liu H, et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: A single-centered, retrospective, observational study. Lancet Respir Med. 2020. DOI: https://doi.org/10.1016/S2213-2600(20)30079-5

Zuo M, Huang Y, Ma W, Xue Z, Zhang J, Gong Y, et al. Chinese Society of Anesthesiology Task Force on Airway Management: Expert recommendations for tracheal intubation in critically ill patients with noval coronavirus disease 2019. Chin Med Sci J. 2020. DOI: https://doi.org/10.24920/003724

Wax R, Christian MD. Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patients. Can J Anaesth. 2020. DOI: https://doi.org/10.1007/s12630-020-01591-x

Higgs A, McGrath B, Goddard C, Rangasami J, Suntharalingam G, Gale R, et al. Guidelines for the management of tracheal intubation in critically ill adults. Br J Anaesth. 2018;120(2):323-5252. DOI: https://doi.org/10.1016/j. bja.2017.10.021

Cabrini L, Pallanch O, Pieri M, Zangrillo A. Preoxygenation for tracheal intubation in critically ill patients: one technique does not fit all. J Thorac Dis. 2019;(Suppl 9):S1299-S1303. DOI: https://doi.org/10.21037/jtd.2019.04.67

Frerk C, Mitchell V, McNarry A, Mendonca C, Bhagrath R, Patel A, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth. 2015;115(6):827-48. DOI: https://doi.org/10.1093/bja/aev371

Gottlieb M, Holladay D, Burns K, Nakitende D, Bailitz J. Ultrasound for airway management: an evidence-based review for the emergency clinician. Am J Emerg Med. 2019;S0735-6757:30816-2. DOI: https://doi.org/10.1016/j.ajem.2019.12.019

Gattinoni L, Coppola S, Cressooni M, Busana M, Rossi S, Chiumello D. Covid-19 Does Not Lead to a “Typical” Acute Respiratory Distress Syndrome. Am J Respir Crit Care Med. 2020. DOI: https://doi.org/10.1164/rccm.202003-0817LE

Fan E, Brodie D, Slutsky A. Acute respiratory distress syndrome: advances in diagnosis and treatment. JAMA. 2018;319(7):698-710. DOI: https://doi.org/10.1001/jama.2017.21907

Amato MBP, Meade MO, Slutsky AS, Brochard L, Costa ELV, Schoenfeld DA, et al. Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med. 2015;372:747-55. DOI: https://doi.org/10.1056/NEJMsa1410639

Venkatesan T, Korula G. A comparative study between the effects of 4% endotracheal tube cuff lignocaine and 1.5mg/kg intravenous lignocaine on coughing and hemodynamics during extubation in neurosurgical patients: A randomized controlled double-blind trial. J Neurosurg Anesthesiol. 2006;18(4):230-4. DOI: https://doi.org/10.1097/00008506-200610000-00002

Abrahamson SD, Canzian S, Brunet F. Using simulation for training and to change protocol during the outbreak of severe acute respiratory syndrome. Crit Care. 2005; 10:R3. DOI: https://doi.org/10.1186/cc3916

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2020-04-14

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