Rehabilitation of patients with covid-19 infection at the sklifosovsky research institute for emergency care

Organization of post-infection rehabilitation is an urgent problem in the context of a new coronavirus infection pandemic Algo-rithm for protection of patients and staff is usually described in the literature At the same time, rehabilitation process is not ana-lyzed Therefore, experience exchange is advisable Objective To summarize the experience of rehabilitation of patients with COVID-19 infection at the intensive care unit of the Skli-fosovsky Research Institute for Emergency Care Material and methods The study included 39 patients with COVID-19 infection in severe and extremely severe condition Mean age was 60 (52;67 5) years Mechanical ventilation was required in 14 (35 9%) patients All patients underwent rehabilitation around the clock Results The rehabilitation program was determined for each patient within 48 hours after admission Rehabilitation measures included positioning (including pron-position), verticalization, mechanotherapy, physiotherapy exercises, breathing exercises, and psychological support In this manuscript, we describe the organization of rehabilitation and its features There were 674 physiotherapy exercises (excluding positioning) and 233 physiotherapy procedures Each patient underwent 2—3 physiotherapy procedures per day Patients under mechanical ventilation underwent all rehabilitation procedures without any features of toler-ance or effectiveness Psychological care was required for difficult adaptation to in-hospital conditions, advanced anxiety and im-paired mood We have developed a guide on stress management for medical staff and effective communication with patients Conclusion Organization of the intensive care unit of infectious building at the Sklifosovsky Research Institute for Emergency Care is close to the international recommendations of experts Specialists have developed the new methods of working with patients © 2020, Media Sphera All rights reserved