Serdar Kalemci

It is difficult to prove any benefit from pulmonary rehabilitation in patients recovering post COVID-19. However I routinely recommend incentive spirometry to patients with COVID-19 in hospital and I recommend that they continue this post discharge home.

This is intended to reverse any atelectasis that occurs in hospitalised patients due to increased bed rest

Rajkumar Rajendram Thank you for your valuable opinion.

yes they need

Thank you jean.

yes, except for those with contraindications; like severe hypoxemia post exercise, severe arrhythmia, and recent AMI etc,...

Several high-quality clinical studies have verified the benefits of pulmonary rehabilitation for in-home patients. The benefits include improved exercise tolerance in patients with chronic pulmonary diseases, reduced number of hospital admissions and length of hospital stays, enhanced health-related quality of life, improved respiratory muscle function and relieved dyspnea, alleviated disease-related anxiety, and depression, and enhanced skeletal muscle function of upper and lower limbs. Article Pulmonary Rehabilitation for Patients with Coronavirus Disea...

Md Rabiul Alam Thank you for your contribution.

Hung-Yang Tao Thank you for your response.

Victor B Grazette

There are chances to get recurrence of SARS 2/corona infection again so need to do pulmonary exercises like spirometry, Yoga, Pranayam specifically to boost the strength of not only respiratory organs but the whole body too. All necessary precautions to be taken till development of herd immunity

Thank you Renu Rathi. For your contribution.

Very interesting answers by all.

There are more interesting questions one would like to answer, such as !!

https://www.researchgate.net/post/What_is_COVID-safety_distance_with_mask_and_without_mask

https://www.researchgate.net/post/What_are_pros_and_cons_of_online_teaching_How_CORONA_changed_your_perspective

https://www.researchgate.net/post/How_to_start_working_in_your_Laboratory_or_Office_after_Lock-down_due_to_Corona

https://www.researchgate.net/post/How_to_start_working_in_your_Laboratory_or_Office_after_Lock-down_due_to_Corona

https://www.researchgate.net/post/Is_it_possible_to_Fully-open_School_College_or_University_without_a_Covid-Vaccine

We need to think indeed on re-infection

I developped a mask that acts positively on potential re-infection , working on contact with virucide through air flow inside the mask

Jean Debetencourt Thats great. Are you planning to Bring it commercially?

I think so

Anmar Aldewachi Thank you dear.

I think it should be considered if accessible

Thank you Joan Nyika .

Yes I think so and this depend on.the case, the general condition, previous respiratory problem in addition to psychology (anxiety, depression) of the patient

No experience of such a case

Jean Debetencourt In our hospital we generally advice Home-based breathing exercises at discharge.

Not all of them , only some

Raya Al-Naimi Yes, Right you are.

probably

Thank you Afraa for your contribution.

Thanks Omkar !

I do and also would recommend others to do. It has resulted in patients being able to resume daily and difficult life routines much faster.

Thanks Misauq for your contribution.

Yes, pulmonary rehabilitation must be prescribed in every patient after a neumological disease, even after COVID-19. It would be necessary to individualize the physiotherapy to each case according to the real clinical status in the moment of the beginning of the rehabilitation.

Thanks Eduardo for your valuable contribution.

I feel there are benefits and no risks- so the ratio is in favor. Our hospital has recently started a post-COVID opd, post COVID pulmonary rehab center with telemed facility.

Pranav Ish Thank you for going along with my opinion. Our hospital started Pulmonary Rehabilitation right from the beginning under supervision of the Department of Physical Medicine and Rehabilitation with the association of Department of Medicine. We have some good Rehabilitation professional including Physiatrists (Rehabilitation Physician) and Physiotherapist.

Patients are giving positive feedback also- their deconditioning and exertional dyspnea is improving.

Pranav Ish We are getting immediate response in prone positioning. And tremendous improvement in Modified Borg Scale at discharge.

Definitely.. Its very time demanding and helpful for the patient.. It not only improve breathlessness but also boost up patients mind... It's mandatory for every Post covid patient... We are working with it and make mandatory for every patient with significant lung involvement..

Its very time important and helpful for the patient.. It will improve the respiration and dyspnea

Afraa Alameen dear!! Its very important specially Post-covid pulmonary rehabilitation can return the patient to a near normal life quickly.

Md Reaz Uddin Chowdhury Nice to hear that you are concern about pulmonary rehabilitation and doing some work at Noakhali Medical College. We are doing Pulmonary Rehab from the very beginning of the pandemic under our department. We have a full team with 4 Rehabilitation Medicine Specialist and 3 Physiotherapist supplemented by necessary support system.

If rehab is started before discharge (as advised in COPD), and continued at home- patients reported outcome and compliance are also improved. O f course we need data from large centers and eventually guidelines.

Yes Pranav Ish . We need supportive data's from large centers.

https://www.youtube.com/watch?v=I-Tt8L-kmbQ

air is the key for treating pulmonary infection though mask assistance : this mask must become active and there are means to render it active , above its function of blocking frontally the virus, not foorgetting that the virus is transported mainly by air.

Proning has proven to be beneficial in most settings.

Covid ARDS, non covid ARDS, awake proning,etc.

It is the physiology perhaps that makes it universally beneficial

https://www.researchgate.net/publication/344234764_Awake_proning_in_COVID-19_pneumonia?_sg=TCs7IXjsxVg3ZPjuv9CsQZHn1x30w0KcxSBUfhNsLgF9cn7kepV2Ne6dKd_8XoXkZRVfz3tVaM51jDun6rmVVAMk19jTaSJ_WFu9Xt4l.APqyfsrohJWynU8n3-w-KaD196VO9msTUgX9n-UNd2UeWtuhg2crHXMzE-bA5hUOnD-o6a3_VWUFB_u0X94W3A

Yes, I believe home-based pulmonary rehabilitation must be prescribed for COVID-19 patients. It is important and beneficial for an early return to work or to the society and will improve the respiration and dyspnea usually present in this cases. Necessarilly it needs to be considered as a part of Post-Covid-19 management.

Dear Israd

I developped a virucide for facial masks, in the form of a cream or milk to put inside a surface of the mask , preferably the center

So when you breave, you inhale some of the virucide

at which level , can it damage lungs as virucide has been in contact wlile inhaling air containg the virucide ?

Any idea? of course to a minimum quantity of active ingrediients

kind regards

JEAN DB

Naveen Chaudhary Thanks for your link.

I think so, as the lungs are the most affected organs. Kindly go through the attachment

Of course I do. I think home-based pulmonary rehabilitation is almost mandatory for these patients in order to have a more rapid and efficient recovery after disease. Whenever possible it most be prescribed and putted in practice.

Yes home-based pulmonary rehabilitation is necessary for these patients in order to have rapid recovery from covid -19 and may considered as a part of mangment

thanks Arfa Alameen for your valuable comment.

Md. Israt Hasan I do agree with inclusion of a home-based program for pulmonary rehabilitation. The evidence of the benefits of pulmonary rehabilitation are undeniable elsewhere, however, there are reported barriers that stop patients to attend and follow-up rehabilitation in traditional centre-based community centres in the UK and Australia.

I am conducting a research project about the awareness of pulmonary rehabilitation and the acceptance of alternative methods.

I'm looking for participants in this survey and mainly researchers interested in respiration monitoring, respiratory specialists or carers.

https://forms.gle/uCrRXHSZ63awaK6H7

This survey is answered anonymously and participation is voluntary. No one apart from the principal investigator will know the collected data.

I would also be happy to give you feedback by April 2022.

Best regards,

(Dr) Francisco Ulises Hernandez Ledezma

Home based Pulmonary rehab, physical rehab and now frankly even an emotional and mental rehab is required.

For all patients even if they r the doctors. COVID-19 surges keep coming. Many doctors and my patients have suffered twice or even thrice now with COVID-19

As pulmonary 🫁 rehabilitation is mandatory for covid affected patient as their immune system is compromised on some extend. So, it's very much wise to consider rhis option to secure a failsafe situation.

Khandaker Naim Hossaion thanks for your answer !

Pranav Ish thanks a lot for enlightens me.