Respiratory Muscle Performance Screening for Infectious Disease Management Following COVID-19: A Highly Pressurized Situation
| Autor: | Richard Severin, Shane A. Phillips, Carl J. Lavie, Samantha Bond, Ross Arena |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Musculoskeletal Physiological Phenomena Pneumonia Viral 030204 cardiovascular system & hematology medicine.disease_cause law.invention Betacoronavirus 03 medical and health sciences 0302 clinical medicine law Pandemic Health care medicine Respiratory muscle Humans 030212 general & internal medicine Intensive care medicine Pandemics Coronavirus Mechanical ventilation SARS-CoV-2 business.industry COVID-19 General Medicine Physical Functional Performance Respiration Artificial Intensive care unit Respiratory Muscles Infectious disease (medical specialty) Coronavirus Infections business Developed country |
| Zdroj: | The American Journal of Medicine |
| ISSN: | 0002-9343 |
| DOI: | 10.1016/j.amjmed.2020.04.003 |
| Popis: | The 2019-2020 coronavirus pandemic elucidated how a single highly infectious virus can overburden health care systems of even highly economically developed nations. A leading contributor to these concerning outcomes is a lack of available intensive care unit (ICU) beds and mechanical ventilation support. Poorer health is associated with a higher risk for severe respiratory complications from the coronavirus. We hypothesize that impaired respiratory muscle performance is an underappreciated factor contributing to poor outcomes unfolding during the coronavirus pandemic. Although impaired respiratory muscle performance is considered to be rare, it is more frequently encountered in patients with poorer health, in particular obesity. However, measures of respiratory muscle performance are not routinely performed in clinical practice, including those with symptoms such as dyspnea. The purpose of this article is to discuss the potential role of respiratory muscle performance from the perspective of the coronavirus pandemic. We also provide a theoretical patient management model to screen for impaired respiratory muscle performance and intervention, if identified, with the goal of unburdening health care systems during future pandemic crises. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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