Table 2: Activities developed in Respiratory Physiotherapy to minimize Covid-19.


Developed Activities

Main Results




Kleber, [22]

• CPR in patients with SARS.

• Position in Pronation.


The prone position changes blood pressures during CPR.


• Patients with Covid-19 who progress to cardiorespiratory arrest. As long as it is in the place that the team is using PPE. Suitable for not delaying the start of CPR.


Roesthuis, et al. [18]

• PP after IOT for 3 days and low PEEP with 50% FiO2.


• Maintenance of good ventilation-perfusion ratio.

• Slight reduction in chest wall compliance.

• Improved compliance with low PEEP.

• All SARS patients responded well to PP.

• The use of PP should be for a prolonged period of 3-5 days and with lower PEEP levels.

Wincka e Ambrosino [16]

PP in patients with a PaO2/FiO2 Ratio (P/F) ≥ 150 mmHg.


• Significant improvement in the PaO2 / FiO2 ratio with PP.


• Use PP for at least 12 to 16 hours a day, preferably within 72 hours after IOT.

• Perform the procedure until obtaining a PaO2/FiO2 (P/F) ratio ≥ 150 mmHg with PEEP ≤ 10 cmH2O and FiO2 ≤ 0.60 for at least 4 hours in the supine position.


Lazzeri, et al. [17]

• PP and Maneuver Training.


• Reduction of end-expiratory pressure loss using a closed system.

• Reduction of atelectasis.

• Improved compliance.

• Improved ventilation/perfusion ratio.


• Patients with Covid-19 and SRAG.

• Use closed suction circuit and do not disconnect the ventilator so as not to lose end-expiratory pressure.

• Use PP 12 to 16 hours a day.

• Train the team in performing the maneuver.


Robba, et al. [20]

• PP and computed tomography.


PP in SARS patients show an improvement in the PaO2/FiO2 ratio.


• Maintain PP for a period of 12 hours in patients with a PaO2/FiO2 (P/F) ratio < 150 mmHg.


Carsetti, et al. [21]


significant improvement in oxygenation.


Carry out PP for at least 16 hours.


PPE: Personal Protective Equipment; OTI: Orotracheal Intubation; PP: Position in pronation; CPR: Cardiopulmonary Resuscitation; SARS: Severe Acute Respiratory syndrome.
Source: Prepared by the authors