unidade de terapia Intensiva

A atuação do fisioterapeuta na Unidade de Tratamento Intensivo de COVID-19 – uma revisão

Resumo: Introduction: COVID-19 affects each individual differently, so some infected patients require hospitalization to correct the low oxygen in the blood. Therapeutic interventions to correct this anomaly are usually carried out in intensive care units (ICU), with the participation of the intensive care physiotherapist and include, in addition to drug therapy, oxygen therapy and ventilatory support, which is usually invasive, with the need for prone positioning, oxygenation by extracorporeal membrane and inhaled nitric oxide. Thus, this article aims to present, based on the bibliography, the approaches of the physiotherapist professional in the intensive care units of COVID-19. Review: This study was carried out through a literature review research. For the composition of this work, legislation, technical pronouncements from regulatory bodies and nine scientific productions published in Portuguese in the period 2019 to 2021 were used. Consultations were carried out in the SCIELO and LILACS databases. Discussion: The physical therapy approach varies according to the degree of severity, characteristics and intervention approaches. Among the resources used in clinical practice for physical therapy management in patients diagnosed with COVID-19, oxygen supplementation, invasive mechanical ventilation (IMV), positioning and early mobilization stand out. Final considerations: The findings of this research allowed us to conclude that the intensive care physical therapist is of great importance in the multidisciplinary team in the ICUs and that their role directly collaborates in the treatment and prevention of cardiopulmonary, circulatory and muscle pathologies, considerably reducing the chance of possible future complications. Keywords: COVID-19, physiotherapy, UTI COVID, intensive care unit. Expandir Resumo Acessar Texto Completo

Distúrbios psíquicos iniciados na unidade de terapia intensiva

Resumo: This work will seek to show through a literature review the mental disorders initiated in the Intensive Care Units, as well as the disorders provided to patients due to stress situations that occurred during the hospitalization period. Therefore, the research method used was the bibliographic review of cases, where it can be seen that family support is essential during the patient's recovery process. As a result, we sought to show the importance of observing the patient's behavior during the hospitalization process by the health team, in order to diagnose possible emotional disorders. Therefore, this study draws attention to the proper treatment of patients who acquired post-traumatic disorder after being discharged and also the controlled use of prescription drugs to combat the symptoms of mental disorders. Keywords: mental disorders, intensive care unit, post-traumatic disorders. Expandir Resumo Acessar Texto Completo