Sequelae of Acute Respiratory Distress Syndrome: Interest of Rehabilitation
Case Presentation. This clinical case presents the history of a woman hospitalized for acute respiratory distress syndrome (ARDS). A 62-year-old woman, with regular physical activity and no history of respiratory disease or smoking, was hospitalized for moderate ARDS with bilateral pneumonitis. Four...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2019/7953141 |
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| author | Elise Godeau David Debeaumont Elise Artaud-Macari Laurie Lagache Gurvan Le Bouar Jérémy Coquart |
| author_facet | Elise Godeau David Debeaumont Elise Artaud-Macari Laurie Lagache Gurvan Le Bouar Jérémy Coquart |
| author_sort | Elise Godeau |
| collection | DOAJ |
| description | Case Presentation. This clinical case presents the history of a woman hospitalized for acute respiratory distress syndrome (ARDS). A 62-year-old woman, with regular physical activity and no history of respiratory disease or smoking, was hospitalized for moderate ARDS with bilateral pneumonitis. Fourteen days later, she was discharged from the intensive care unit and received respiratory physical therapy. One month later, she experienced exertional dyspnea. A regression of alveolar condensation with persistent sequelae at the pulmonary bases was noted. Three months later, the patient continued daily physical activity with satisfactory tolerance. A reduction in alveolar-capillary transfer, inappropriate hyperventilation upon exercise, and impairment of gas exchanges at maximal effort, suggestive of pulmonary shunt, were demonstrated. At the 6-month evaluation, the patient displayed exertional dyspnea with residual bilateral basal consolidations. Six months later, the dyspnea had ceased. The persistence of bilateral basal interstitial syndrome associated with bronchial dilatation and pleural-based consolidations was noted, as well as a stable impaired alveolar-capillary diffusing capacity. Discussion. Upon discharge from intensive care, pulmonary follow-up should be proposed to ARDS survivors. Moreover, pulmonary function testing at rest and exercise is advised as soon as possible to evaluate the respiratory sequelae. This will help to limit the severity of complications through adapted exercise rehabilitation and then regular physical activity. |
| format | Article |
| id | doaj-art-454b402bfed249fba7a947a7849c5f2e |
| institution | OA Journals |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-454b402bfed249fba7a947a7849c5f2e2025-08-20T02:37:52ZengWileyCase Reports in Critical Care2090-64202090-64392019-01-01201910.1155/2019/79531417953141Sequelae of Acute Respiratory Distress Syndrome: Interest of RehabilitationElise Godeau0David Debeaumont1Elise Artaud-Macari2Laurie Lagache3Gurvan Le Bouar4Jérémy Coquart5CHU-Hôpitaux de Rouen, Unité de Physiologie Respiratoire et Sportive, 76000 Rouen, FranceCHU-Hôpitaux de Rouen, Unité de Physiologie Respiratoire et Sportive, 76000 Rouen, FranceCHU-Hôpitaux de Rouen, Service de Pneumologie, Oncologie Thoracique et Soins Intensifs Respiratoires, 76000 Rouen, FranceCHU-Hôpitaux de Rouen, Service de Réanimation Médicale, 76000 Rouen, FranceCHU-Hôpitaux de Rouen, Service de Réanimation Médicale, 76000 Rouen, FranceNormandie Université, UNIROUEN, EA 3832: Centre d’Etudes des Transformations par les Activités Physiques et Sportives, Institut de Recherche Interdisciplinaire Homme et Société, 76130 Mont-Saint-Aignan, FranceCase Presentation. This clinical case presents the history of a woman hospitalized for acute respiratory distress syndrome (ARDS). A 62-year-old woman, with regular physical activity and no history of respiratory disease or smoking, was hospitalized for moderate ARDS with bilateral pneumonitis. Fourteen days later, she was discharged from the intensive care unit and received respiratory physical therapy. One month later, she experienced exertional dyspnea. A regression of alveolar condensation with persistent sequelae at the pulmonary bases was noted. Three months later, the patient continued daily physical activity with satisfactory tolerance. A reduction in alveolar-capillary transfer, inappropriate hyperventilation upon exercise, and impairment of gas exchanges at maximal effort, suggestive of pulmonary shunt, were demonstrated. At the 6-month evaluation, the patient displayed exertional dyspnea with residual bilateral basal consolidations. Six months later, the dyspnea had ceased. The persistence of bilateral basal interstitial syndrome associated with bronchial dilatation and pleural-based consolidations was noted, as well as a stable impaired alveolar-capillary diffusing capacity. Discussion. Upon discharge from intensive care, pulmonary follow-up should be proposed to ARDS survivors. Moreover, pulmonary function testing at rest and exercise is advised as soon as possible to evaluate the respiratory sequelae. This will help to limit the severity of complications through adapted exercise rehabilitation and then regular physical activity.http://dx.doi.org/10.1155/2019/7953141 |
| spellingShingle | Elise Godeau David Debeaumont Elise Artaud-Macari Laurie Lagache Gurvan Le Bouar Jérémy Coquart Sequelae of Acute Respiratory Distress Syndrome: Interest of Rehabilitation Case Reports in Critical Care |
| title | Sequelae of Acute Respiratory Distress Syndrome: Interest of Rehabilitation |
| title_full | Sequelae of Acute Respiratory Distress Syndrome: Interest of Rehabilitation |
| title_fullStr | Sequelae of Acute Respiratory Distress Syndrome: Interest of Rehabilitation |
| title_full_unstemmed | Sequelae of Acute Respiratory Distress Syndrome: Interest of Rehabilitation |
| title_short | Sequelae of Acute Respiratory Distress Syndrome: Interest of Rehabilitation |
| title_sort | sequelae of acute respiratory distress syndrome interest of rehabilitation |
| url | http://dx.doi.org/10.1155/2019/7953141 |
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