Global approaches for global challenges: the possible support of rehabilitation in the management of COVID-19.

Global approaches for global challenges: the possible support of rehabilitation in the management of COVID-19.

We have read with interest the paper by Li and colleagues about the neurotropism of the severe acute respiratory syndrome coronavirus (SARS-CoV-2), responsible of coronavirus disease (COVID-19), recently discovered in China and now worldwide spread. In particular, the paper focuses on the role of the nervous system involvement in causing the respiratory failure. The authors take into consideration the biological similarities of SARS-CoV-2 with two coronaviruses, which globally impacted the recent history: SARS-CoV, discovered in 2002, and Middle East respiratory syndrome coronavirus (MERS-CoV), discovered in 2012. Even if the role of neuroinvasion in COVID-19 severity still remains undefined, the authors correctly underline its important implications. In particular, the treatment options should contemplate this potential trait of SARS-CoV-2, for example considering the obstacle of blood-brain barrier or limiting the use of…

Physiotherapy in Intensive Care - An Updated Systematic Review

Physiotherapy in Intensive Care - An Updated Systematic Review

Background: Although physiotherapy is frequently provided to patients in the ICU, its role has been questioned. The purpose of this systematic literature review, an update of one published in 2000, was to examine the evidence concerning the effectiveness of physiotherapy for adult, intu- bated patients who are mechanically ventilated in the ICU.

Assessing physical function and activity for survivors of a critical illness: A review of instruments

Assessing physical function and activity for survivors of a critical illness: A review of instruments

Background: Functional outcomes and health-related quality of life are important measures for survivors of a critical illness. Studies have demonstrated debilitating physical effects for a significant proportion of surviving patients, particularly those with intensive care unit-acquired weakness. Contemporary practice changes include a focus on the continuum of critical illness, with less sedation and more physical activity including mobility while in ICU, and post-ICU and post-hospitalisation activ- ities to support optimal recovery. How to best assess the physical function of patients at different phases of their recovery and rehabilitation is therefore important. Purpose: This narrative review paper examined observational and functional assess- ment instruments used for assessing patients across the in-ICU, post-ICU and post-hospital continuum of critical illness.

Rééducation précoce des patients COVID-19

Rééducation précoce des patients COVID-19

Modération IL: Adaptation en français d'un article chinois qui a pour principal intérêt d'avoir été écrit par des équipes directement confrontées à la situation épidémique en amont de l'Europe. Les propositions sont très simples et peu détaillées. Il n'y a pas d'originalité. Article sans références bibliographiques.