Abstract
The article describes a case of effective rehabilitation of a patient with the right lung atelectasis after complex congenital heart disease corrective surgery. The necessity of a multidisciplinary approach in medical rehabilitation is emphasized. In addition, modern ideas about the mechanisms of the physiological influence of these factors on the patient's body, and the logic of their application in this case, are briefly outlined. When describing each therapeutic physical factor, the main clinical and physiological purpose of its appointment is highlighted. A description of the treatment methods, parameters of therapeutic physical factors, exposure time and multiplicity are also given. The principles of combination of different therapeutic factors in cardiorespiratory rehabilitation are described, taking into account personalized approach and characteristics of the patient’s postoperative course.
References
- Rutter S. Послеоперационная дыхательная недостаточность. FEEA Course. Июнь 2007. Rutter S. Postoperative respiratory failure. FEEA Course. June 2007 (in Russ.).
- Mikhel’son V.A. Pediatric anesthesiology and resuscitation. Moscow: Meditsina; 2001 (in Russ.).
- Sprindzhuk M.V., Adzerikho I.E., Lapteva I.M., Dergachev A.V. Bronchopulmonary complications in cardiac surgery. Novosti Khirurgii. 2008; 16 (2): 149–57 (in Russ.).
- Weissman Ch. Pulmonary complications after сardiac surgery. Semin. Cardiothorac. Vasc. Anesthesia. 2004; 8 (3): 185–211. DOI: 10.1177/108925320400800303
- Bagaev A.B., Gagiev P.K. Influence of the depth of anesthesia on the occurrence of postoperative pulmonary atelectasis. Young Scientist. 2017; 7 (141): 133–5 (in Russ.).
- Razumov A.N., Ponomarenko G.N., Badtieva V.A. Medical rehabilitation of patients with pneumonia associated with a new coronavirus infection COVID-19. Problems of Balneology, Physiotherapy, and Exercise Therapy. 2020; 97 (3): 5–13 (in Russ.). DOI: 10.17116/kurort2020970315 248
- Dean N.C., Bateman K.A., Donnelly S.M., McCabe C., Kirchner C., Zhang H. et al. Improved clinical outcomes with utilization of a community-acquired pneumonia guideline. Chest. 2006; 130: 794–9.
- Wynne R. Variable definitions: implications for the prediction of pulmonary complications after adult cardiac surgery. Eur. J. Cardiovasc. Nursing. 2004; 3: 43–52. DOI: 10.1016/s1474- 5151(03)00127-0
- Belan Yu.B., Starikovich M.V., Sulima O.N., Shefer E.P. Acetylcysteine and carbocisteine in the treatment of upper and lower respiratory tract infections in children without chronic bronchopulmonary diseases. Russian Bulletin of Perinatology and Pediatrics. 2011; 5; 109–14 (in Russ.).
- Zabolotskikh I.B., Trembach N.V., Gritsian A.N., Kirov M.Yu., Lebedinsky K.M., Mazaurok V.A. et al. Postoperative management of patients with respiratory failure. Russian Journal of Anaesthesiology and Reanimatology. 2018; 1-2: 102–16 (in Russ.). DOI: 10.17116/anaesthesiology201801- 021102
- Kolosova N.G. Modern nebulizer therapy for respiratory infections in children. Pediatric Practice. 2013; 4: 57–63 (in Russ.).
- Holscher A.H., Vallbohmer D., Brabender J.F. The prevention and management of perioperative complications. Best Pract. Res. Сlin. Gastroenter. 2006; 20 (5): 907–23.
- Epifanov V.A. Healing fitness. Moscow: GEOTAR-Media; 2009: 110 (in Russ.).
- Khan M.A., Razumov A.N., Korchazhkina N.B., Pogonchenkova I.V. Physical and rehabilitation medicine in pediatrics. Moscow: GEOTAR-Media; 2018: 111, 130 (in Russ.).
- Putyato N.A., Shvedunova V.N., Zavarina A.Yu., Tokaeva Z.K., Tokovenko A.A., Kokshina A.V. et al. Complications of the second stage of medical rehabilitation in children after surgical correction of congenital heart defects. Children’s Heart and Vascular Diseases. 2019; 16 (3): 162–70 (in Russ.). DOI: 10.24022/1810-0686-2019-16-3-162-170
About the authors
- Danila A. Boos, Physiotherapist; ORCID
- Valentina N. Shvedunova, Dr. Med. Sci., Professor, Head of Department; ORCID
- Anna Yu. Zavarina, Chief Physician of the Children’s Rehabilitation Center; ORCID
- Niyole A. Putyato, Cand. Med. Sci., Head of Department; ORCID
- Leysan I. Yakubova, Cardiologist; ORCID
