ABSTRACT
Introduction: The inclusion of non-invasive ventilatory support systems in the management of ARDS in adults during the current pandemic, has been a lifeline given the lack of resources in the current international health situation. Systems such as the high flow nasal cannula have proven not to be just a temporary ventilatory system while awaiting invasive mechanical ventilation, on the contrary it has been shown that the high flow nasal cannula is an effective therapy tool in ARDS. Objective: To provide an easy guideline for the management of high-flow cannulas in hospitalized patients with severe pneumonia due to ATS criteria secondary to SARS COV2-COVID 19. Materials and methods: This is a prospective, single-centre observational study, including 59 patients, all with a diagnosis of SARS-CoV-2-related pneumonia between January and April 2021. The patients were initially managed in an intermediate care unit with high nasal cannula flow (HFNC). Results: We were able to show that there is a statistically significant correlation between age > 65 years and respiratory rate ≥28 and mortality;likewise, between age > 50 years, NEWS > 6 and again a respiratory rate ≥28 with treatment failure. Conclusions: HFNC in respiratory failure related to coronavirus disease 2019 should become a viable management alternative, particularly in settings with limited access to intensive care unit resources, taking the indications into account and recognizing that a high percentage of patients who receive it can be successfully weaned without the need for invasive mechanical ventilation. © 2022 Asociación Colombiana de Medicina Crítica y Cuidado lntensivo
ABSTRACT
Educational processes have demanded and enabled professors and students to design and live training and care experiences in response to the effects of the Covid-19 pandemic. This study documents a formative experience with occupational therapy students from a public university during the pandemic. The experience was analyzed in two moments that we call “breaths”. During the first moment, we held virtual voluntarily attended talking circles with students;in the second, through an optional module offered to students, artistic and bodily practices were taught as devices for care, expression and bodily connection. The students highlighted the importance of creating a trusted environment and supporting a collective proposal, enabling the construction of sensitive, inventive and critical bodies, which is essential for professional practice. © 2022, Fundacao UNI Botucatu/UNESP. All rights reserved.
ABSTRACT
Educational processes have demanded and enabled professors and students to design and live training and care experiences in response to the effects of the Covid-19 pandemic. This study documents a formative experience with occupational therapy students from a public university during the pandemic. The experience was analyzed in two moments that we call "breaths". During the first moment, we held virtual voluntarily attended talking circles with students;in the second, through an optional module offered to students, artistic and bodily practices were taught as devices for care, expression and bodily connection. The students highlighted the importance of creating a trusted environment and supporting a collective proposal, enabling the construction of sensitive, inventive and critical bodies, which is essential for professional practice.