Activities developed in Respiratory Physiotherapy to minimize Covid-19.

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

Author/Year	Developed Activities	Main Results	Indications
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]	PP	significant improvement in oxygenation.	Carry out PP for at least 16 hours.

Author/Year

Developed Activities

Main Results

Indications

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