https://doi.org/10.4081/monaldi.2021.2004

Physiotherapy approach after lung transplantation in a critically ill COVID-19 patient: a case report

Vol. 92 No. 2 (2022)
Submitted: July 8, 2021
Accepted: September 16, 2021
Published: November 24, 2021
early rehabilitation, COVID-19, lung transplantation, functional mobilization, critical care
Abstract Views: 1932
PDF: 957
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Authors

Veronica Rossi
Health Professions Department Unit; Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Serena Tammaro
https://orcid.org/0000-0003-4809-0255
Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy.
Martina Santambrogio
https://orcid.org/0000-0002-7428-7927
Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy.
Mariangela Retucci
Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy.
Francesca Gallo
https://orcid.org/0000-0001-5526-9187
Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy.
Stefania Crotti
Department of Anesthesia, Critical Care and Emergency, Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, Milan , Italy.
Marco Mantero
Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico; Department of Pathophysiology and Transplantation, University of Milan , Italy.
Mario Nosotti
Department of Pathophysiology and Transplantation, University of Milan; Thoracic Surgery and Lung Transplantation Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico of Milan, Italy.
Emilia Privitera
emilia.privitera@policlinico.mi.it
Health Professions Department Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy.
Alessandro Palleschi
Department of Pathophysiology and Transplantation, University of Milan; Thoracic Surgery and Lung Transplantation Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico of Milan, Italy.

This study describes the case of an 18-years-old male affected by severe COVID-19, who was receiving bilateral lung transplantation (LT), after 71 days of mechanical ventilation and 55 days of veno-venous extracorporeal membrane oxygenation. From post-operative day 2, early mobilization and physiotherapy treatments were performed. Weaning from mechanical ventilation, the use of non-invasive ventilation and tracheostomy management were included in the treatment. Forty-five days after LT the patient was discharged at home, showing improvements in terms of functional and respiratory parameters, quality of life and mood. While evidences about physiotherapy treatments in lung transplantation post severe COVID-19 remain limited, early approach and a multidisciplinary team may be considered key elements for functional recovery of these subjects.

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Scopus
Google Scholar
Europe PMC
Grasselli G, Greco M, Zanella A, et al. Risk factors associated with mortality among patients with COVID-19 in Intensive care units in Lombardy, Italy. JAMA Intern Med 2020;180:1345-55. DOI: https://doi.org/10.1001/jamainternmed.2020.3539
Lazzeri M, Lanza A, Bellini R, et al. Respiratory physiotherapy in patients with COVID-19 infection in acute setting: a Position Paper of the Italian Association of Respiratory Physiotherapists (ARIR). Monaldi Arch Chest Dis 2020;90:1285. DOI: https://doi.org/10.4081/monaldi.2020.1285
Thomas P, Baldwin C, Bissett B, et al. Physiotherapy management for COVID-19 in the acute hospital setting: clinical practice recommendations. J Physiother 2020;66:73-82. DOI: https://doi.org/10.1016/j.jphys.2020.03.011
World Health Organization. Clinical management of severe acute respiratory infection (‎‎‎SARI)‎‎‎ when COVID-19 disease is suspected: interim guidance, 13 March 2020. Available from: https://appswhoint/iris/handle/10665/331446 DOI: https://doi.org/10.15557/PiMR.2020.0003
Gosselink R, Bott J, Johnson M, et al. Physiotherapy for adult patients with critical illness: recommendations of the European Respiratory Society and European Society of Intensive Care Medicine Task Force on Physiotherapy for Critically Ill Patients. Intensive Care Med 2008;34:1188-99. DOI: https://doi.org/10.1007/s00134-008-1026-7
Sessler CN, Gosnell MS, Grap MJ, et al. The Richmond Agitation-Sedation Scale: validity and reliability in adult intensive care unit patients. Am J Respir Crit Care Med 2002;166:1338-44. DOI: https://doi.org/10.1164/rccm.2107138
Stevens RD, Marshall SA, Cornblath DR, et al. A framework for diagnosing and classifying intensive care unit-acquired weakness. Crit Care Med 2009;37:S299-308. DOI: https://doi.org/10.1097/CCM.0b013e3181b6ef67
Mahoney FI, Barthel DW. Functional evaluation: The Barthel index. Md State Med J 1965;14:61-5. DOI: https://doi.org/10.1037/t02366-000
Bohannon RW, Crouch R. 1-Minute Sit-to-Stand Test: systematic review of procedures, performance, and clinimetric properties. J Cardiopulm Rehabil Prev 2019;39:2-8. DOI: https://doi.org/10.1097/HCR.0000000000000336
Holland AE, Spruit MA, Troosters T, et al. An official European Respiratory Society/American Thoracic Society technical standard: field walking tests in chronic respiratory disease. Eur Respir J 2014;44:1428-46. DOI: https://doi.org/10.1183/09031936.00150314
Langer D. Rehabilitation in patients before and after lung transplantation. Respiration 2015;89:353-62. DOI: https://doi.org/10.1159/000430451
Orsini A, Corsi M, Santangelo A, et al. Challenges and management of neurological and psychiatric manifestations in SARS-CoV-2 (COVID-19) patients. Neurol Sci 2020;41:2353-66. DOI: https://doi.org/10.1007/s10072-020-04544-w

How to Cite

Rossi, Veronica, Serena Tammaro, Martina Santambrogio, Mariangela Retucci, Francesca Gallo, Stefania Crotti, Marco Mantero, Mario Nosotti, Emilia Privitera, and Alessandro Palleschi. 2021. “Physiotherapy Approach After Lung Transplantation in a Critically Ill COVID-19 Patient: A Case Report”. Monaldi Archives for Chest Disease 92 (2). https://doi.org/10.4081/monaldi.2021.2004.
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