Rehabilitation of a Patient with Severe COVID-19 Using Extracorporeal Membrane Oxygenation：A Case Report

Daichi Tsukakoshi; Shuhei Yamamoto; Yosuke Wada; Satsuki Terashima; Ryuji Osawa; Keiji Matsumori; Shun Ito; Yukio Nakamura; Kohei Nagamine; Shota Ikegami; Hiroshi Horiuchi

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Rehabilitation of a Patient with Severe COVID-19 Using Extracorporeal Membrane Oxygenation：A Case Report

VernacularTitle:ECMO管理を必要とした重症COVID-19患者に対してリハビリテーション治療を行った1例
Author: Daichi TSUKAKOSHI ¹ ; Shuhei YAMAMOTO ¹ ; Yosuke WADA ² ; Satsuki TERASHIMA ¹ ; Ryuji OSAWA ¹ ; Keiji MATSUMORI ¹ ; Shun ITO ¹ ; Yukio NAKAMURA ³ ; Kohei NAGAMINE ⁴ ; Shota IKEGAMI ³ ; Hiroshi HORIUCHI ⁴
Author Information

1. Department of Rehabilitation, Shinshu University School of Medicine
2. First Department of Internal Medicine, Shinshu University School of Medicine
3. Department of Orthopaedic Surgery, Shinshu University School of Medicine
4. Department of Rehabilitation Medicine, Shinshu University School of Medicine
Keywords: coronavirus disease 2019; extracorporeal membrane oxygenation; respiratory rehabilitation; disuse syndrome
From:The Japanese Journal of Rehabilitation Medicine 2022;59(1):92-98
CountryJapan
Language:Japanese
Abstract: Coronavirus disease 2019 (COVID-19) has been spreading globally since 2019；however, comprehensive rehabilitation of elderly patients with COVID-19 pneumonia remains a challenge. A 76-year-old American woman with COVID-19 pneumonia was admitted to our hospital. Because her disease was complicated by acute respiratory distress syndrome (ARDS), she was treated with intensive care, including invasive ventilation and extracorporeal membrane oxygenation (ECMO). During and after intensive care, she exhibited physical symptoms such as weakness, pain, shortness of breath, and difficulty in movement and exercise. Furthermore, during approximately 3.5 months of hospitalization, she received swallowing and speech therapies along with physical therapy. These rehabilitation therapies enabled her to get home in the United States. Her rehabilitation schedule had to be carefully planned according to her symptoms and infectiousness of COVID-19. This paper highlights few important points regarding the difficulty in rehabilitation including that of physical function, mental health, and cognitive function of patients with COVID-19. Furthermore, this report provides a problem-solving approach for long-term rehabilitation in elderly patients with COVID-19 pneumonia.