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Yıl:2022; Cilt: 59; Sayı: 2>> Özet
TAM METİN
Nöropsikiyatri Arşivi; 2022;59(2):158-160
Poliomiyelit Sekeli, COVID-19 ARDS Sonrası İyileşme için Bir Dezavantaj mı: Olgu Sunumu
M Topaloğlu, Z Turan, S Tekin, E Şentürk, Ö Özyemişçi Taşkıran
Koç Üniversitesi, İstanbul
Poliomiyelit sekeli olan, COVID-19’a bağlı akut solunum sıkıntısı sendromlu bir olguyu sunuyoruz. Hasta yoğun bakım ünitesinde 7 gün non-invaziv mekanik ventilasyon ile desteklenerek hospitalize edilmiştir. Sitokin fırtınası nedeniyle IL-6 inhibitörü uygulanmıştır. Herhangi bir steroid veya sedatif ajan verilmemiştir. Yoğun bakım ünitesinde erken mobilizasyon yapılmıştır. Taburcu olduktan bir ay sonra yapılan fizik muayenesinde, COVID-19 enfeksiyonunun hastanın kas gücünde ve fiziksel performansında anlamlı bir değişikliğe neden olmadığı görülmüştür. COVID-19’a bağlı akut solunum sıkıntısı sendromlu hastalarda yoğun bakım sonrası sendromunu önlemek için erken mobilizasyonu teşvik etmek önemlidir.
Is Poliomyelitis Sequelae A Disadvantage for Recovery from Covid-19 ARDS: A Case Report
We present a case with acute respiratory distress syndrome due to COVID-19 who had poliomyelitis sequelae. He was hospitalized in the intensive care unit and supported by non-invasive mechanical ventilation for 7 days. IL-6 inhibitor was administered due to cytokine storm. No steroid or sedative agents were administered. Early mobilization was performed in the intensive care unit. One month after discharge, physical examination revealed COVID-19 infection did not cause significant changes in muscle strength and physical performance in this patient with poliomyelitis sequelae. It is important to promote early mobilization in the intensive care unit to prevent post-intensive care syndrome in COVID-19 acute respiratory distress syndrome.

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