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: 2289
PDF: 1094
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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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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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