RESUMO
The German Respiratory Society (DGP) has commissioned Assembly 12 "Rehabilitation, Prevention and Tobacco Control" to develop recommendations for the implementation of pulmonary rehabilitation in COVID-19 patients. This position paper is based on the current state of knowledge, which develops daily. This position paper describes the health consequences in COVID-19 as well as the indications for pulmonary rehabilitation. Rehabilitative therapies in COVID-19 are already indicated on the ward or intensive care unit, continue as early pulmonary rehabilitation in the acute hospital and as pulmonary rehabilitation in pulmonary rehabilitation centers. The main focus of this position paper is to propose recommendations for the content-related implementation of a multimodal, interdisciplinary pulmonary rehabilitation in COVID-19 patients.
Assuntos
Betacoronavirus , Infecções por Coronavirus/reabilitação , Infecções por Coronavirus/terapia , Pneumonia Viral/reabilitação , Pneumonia Viral/terapia , Guias de Prática Clínica como Assunto , Síndrome do Desconforto Respiratório/terapia , Insuficiência Respiratória/terapia , Terapia Respiratória/normas , COVID-19 , Infecções por Coronavirus/complicações , Infecções por Coronavirus/epidemiologia , Humanos , Pulmão/fisiopatologia , Pulmão/virologia , Pandemias , Pneumonia Viral/complicações , Pneumonia Viral/epidemiologia , Síndrome do Desconforto Respiratório/etiologia , Insuficiência Respiratória/prevenção & controle , SARS-CoV-2 , Sociedades MédicasRESUMO
Aspiration of foreign bodies is extremely rare in adults but frequent in children. Foreign bodies aspired by adults are usually immediately identified and quickly removed. This, however, was not the case with the patient under report. In a women patient of 51 years of age who had so far been completely healthy, a certainly rare endobronchial foreign body remained unidentified for eighty-six days. Even in adults one must take the possibility of foreign body aspiration into consideration whenever signs are seen such as dyspnoea, recurrent pneumonias, unproductive coughing, retrosternal pain, distant cardiac murmur if no obstructive disturbance of ventilation had already existed before, and especially if there are obstructive respiratory sounds of laterally different amplitude.