Intensive Care Admission and Early Neuro-Rehabilitation. Lessons for COVID-19?

Détails

Ressource 1Télécharger: 32982916_BIB_CB441573F84B.pdf (559.20 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_CB441573F84B
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Intensive Care Admission and Early Neuro-Rehabilitation. Lessons for COVID-19?
Périodique
Frontiers in neurology
Auteur(s)
Pincherle A. (co-premier), Jöhr J. (co-premier), Pancini L., Leocani L., Dalla Vecchia L., Ryvlin P., Schiff N.D., Diserens K.
ISSN
1664-2295 (Print)
ISSN-L
1664-2295
Statut éditorial
Publié
Date de publication
2020
Peer-reviewed
Oui
Volume
11
Pages
880
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Résumé
Coronavirus disease 2019 (COVID-19) requires admission to intensive care (ICU) for the management of acute respiratory distress syndrome in about 5% of cases. Although our understanding of COVID-19 is still incomplete, a growing body of evidence is indicating potential direct deleterious effects on the central and peripheral nervous systems. Indeed, complex and long-lasting physical, cognitive, and functional impairments have often been observed after COVID-19. Early (defined as during and immediately after ICU discharge) rehabilitative interventions are fundamental for reducing the neurological burden of a disease that already heavily affects lung function with pulmonary fibrosis as a possible long-term consequence. In addition, ameliorating neuromuscular weakness with early rehabilitation would improve the efficiency of respiratory function as respiratory muscle atrophy worsens lung capacity. This review briefly summarizes the polymorphic burden of COVID-19 and addresses possible early interventions that could minimize the neurological and systemic impact. In fact, the benefits of early multidisciplinary rehabilitation after an ICU stay have been shown to be advantageous in several clinical conditions making an early rehabilitative approach generalizable and desirable to physicians from a wide range of different specialties.
Mots-clé
COVID-19, ICU, early rehabilitation, immobilization, mechanical ventilation, neurological complications
Pubmed
Web of science
Open Access
Oui
Création de la notice
05/10/2020 14:21
Dernière modification de la notice
30/04/2021 7:14
Données d'usage