Respir Case Rep. 2022; 11(1): 1-8 | DOI: 10.5505/respircase.2022.92195

Post COVID-19 Hastalarýnda Yoðun Bakým Sonrasý Tele Pulmoner Rehabilitasyon: Olgu Serisi

Mustafa Engin Þahin, Seher Satar, Pýnar Ergün
SBÜ, Atatürk Göðüs Hastalýklarý ve Göðüs Cerrahisi Eðitim Araþtýrma Hastanesi, Kronik Solunum Yetmezliði Kliniði, Ankara

COVID-19 pnömonisi nedeniyle yoðun bakým ünite-sinde takip edilen olgularda taburculuk sonrasý Pul-moner Rehabilitasyon (PR) uygulama gerekçelerinin baþýnda yoðun bakýmda edinilmiþ kas güçsüzlüðü, yoðun bakým sonrasý sendrom (PICS), psikolojik dis-fonksiyon, vücut kompozisyonu deðiþiklikleri yer al-maktadýr. Pandemi sürecinde yüz yüze PR uygulama-larýndaki kýsýtlýlýklar tele-PR’ yi öne çýkarsa da, PR için uygun hasta profili hala bilinmiyor. Bu olgu serisinde YBÜ sonrasý yönlendirilen beþ olguda video konfe-rans aracýlý tele-PR yüz yüze formatla hibrid olarak uygulanmýþtýr. Ayaktan PR ünitesinde ilk ve son deðer-lendirmeler ile ilk iki egzersiz seansý yapýldýktan sonra video konferans yöntemiyle programa devam edildi. Toplam 18 seans sonunda nefes darlýðý algýsýnda azalma, egzersiz kapasitesinde ve kas kuvvetinde artýþ oldu. COVID-19 iliþkili yorgunluk þiddetinde azalma saptandý.

Anahtar Kelimeler: Pulmoner rehabilitasyon, COVID-19, tele-saðlýk, yoðun bakým.

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Post Intensive Care Tele Pulmonary Rehabilitation in Post-COVID-19: A Case Series

Mustafa Engin Þahin, Seher Satar, Pýnar Ergün
Clinic of Chronic Respiratory Failure, University of Health Sciences, Atatürk Chest Diseases and Chest Surgery Training and Research Hospital, Ankara, Turkey

Muscle weakness acquired in intensive care, post-intensive care syndrome, psychological dysfunction and changes in body composition are the main rea-sons cited in Pulmonary Rehabilitation (PR) applica-tions after discharge in cases followed up in the in-tensive care unit (ICU) due to COVID-19 pneumonia. Although the limitations of face-to-face PR applica-tions during the pandemic have made tele-PR more common, the appropriate patient profile for PR is still unknown. In this case series, video conferencing-mediated tele-PR was applied as a hybrid approach and compared with PR in a face-to-face format in five cases referred after ICU. After the initial and final evaluations and the first two exercise sessions were performed in the outpatient PR unit, the program was continued via a video-conferencing method. At the end of the total 18 sessions, a decrease was noted in the perception of dyspnea, and an increase in exer-cise capacity and muscle strength. A decrease in the severity of COVID-19-related fatigue was also noted.

Keywords: Pulmonary rehabilitation, COVID-19, telehealth, intensive care.

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ATIF KOPYALA