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Development of a Medium Care Unit Using an Inexperienced Respiratory Staff: Lessons Learned during the COVID-19 Pandemic

Author

Listed:
  • Olivier Van Hove

    (Department of Physiotherapy and Pneumology, Erasme University Hospital, Université Libre de Bruxelles, 1070 Brussels, Belgium)

  • Alexis Gillet

    (Department of Physiotherapy and Pneumology, Erasme University Hospital, Université Libre de Bruxelles, 1070 Brussels, Belgium)

  • Jérôme Tack

    (Intensive Care Unit, Erasme University Hospital, Université Libre de Bruxelles, 1070 Brussels, Belgium
    Health Economics, Hospital Management and Nursing Research Dept, School of Public Health, Université Libre de Brussels, 1070 Brussels, Belgium)

  • Gregory Reychler

    (Departement of Pneumology, Saint-Luc University Hospital, Université Catholique de Louvain, 1200 Brussels, Belgium)

  • Magda Guatteri

    (Psychology Department, Erasme University Hospital, Université Libre de Bruxelles, 1070 Brussels, Belgium)

  • Asuncion Ballarin

    (Clinical Nutrition Nurse, Erasme University Hospital, Université Libre de Bruxelles, 1070 Brussels, Belgium)

  • Justine Thomas

    (Clinical Nutrition Nurse, Erasme University Hospital, Université Libre de Bruxelles, 1070 Brussels, Belgium)

  • Rolando Espinoza

    (Department of Physiotherapy and Pneumology, Erasme University Hospital, Université Libre de Bruxelles, 1070 Brussels, Belgium)

  • Frédéric Bonnier

    (Department of Physiotherapy and Intensive Care, Erasme University Hospital, Université Libre de Brussels, 1070 Brussels, Belgium)

  • Michelle Norrenberg

    (Department of Physiotherapy and Intensive Care, Erasme University Hospital, Université Libre de Brussels, 1070 Brussels, Belgium)

  • Pauline Daniel

    (Department of Physiotherapy, Faculté des Sciences de la Motricité, Université Libre de Bruxelles, 1070 Brussels, Belgium)

  • Michel Toussaint

    (Centre de Référence Neuromusculaire, Department of Neurology, Erasme University Hospital, Université Libre de Bruxelles, 1070 Brussels, Belgium)

  • Dimitri Leduc

    (Department of Pneumology, Erasme University Hospital, Université Libre de Bruxelles, 1070 Brussels, Belgium)

  • Bruno Bonnechère

    (REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, 3590 Diepenbeek, Belgium
    Technology-Supported and Data-Driven Rehabilitation, Data Sciences Institute, Hasselt University, 3590 Diepenbeek, Belgium
    These authors contributed equally to this work.)

  • Olivier Taton

    (Department of Pneumology, Erasme University Hospital, Université Libre de Bruxelles, 1070 Brussels, Belgium
    These authors contributed equally to this work.)

Abstract

The different waves of the COVID-19 pandemic caused dramatic issues regarding the organization of care. In this context innovative solutions have to be developed in a timely manner to adapt to the organization of the care. The establishment of middle care (MC) units is a bright example of such an adaptation. A multidisciplinary MC team, including expert and non-expert respiratory health care personnel, was developed and trained to work in a COVID-19 MC unit. Important educational resources were set up to ensure rapid and effective training of the MC team, limiting the admission or delaying transfers to ICU and ensuring optimal management of palliative care. We conducted a retrospective analysis of patient data in the MC unit during the second COVID-19 wave in Belgium. The aim of this study was to demonstrate the feasibility of quickly developing an effective respiratory MC unit mixing respiratory expert and non-expert members from outside ICUs. The establishment of an MC unit during a pandemic is feasible and needed. MC units possibly relieve the pressure exerted on ICUs. A highly trained multidisciplinary team is key to ensuring the success of an MC unit during such kind of a pandemic.

Suggested Citation

  • Olivier Van Hove & Alexis Gillet & Jérôme Tack & Gregory Reychler & Magda Guatteri & Asuncion Ballarin & Justine Thomas & Rolando Espinoza & Frédéric Bonnier & Michelle Norrenberg & Pauline Daniel & M, 2022. "Development of a Medium Care Unit Using an Inexperienced Respiratory Staff: Lessons Learned during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(12), pages 1-13, June.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:12:p:7349-:d:839630
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    1. Sarah Houben & Bruno Bonnechère, 2022. "The Impact of COVID-19 Infection on Cognitive Function and the Implication for Rehabilitation: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(13), pages 1-21, June.

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