{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T10:00:11Z","timestamp":1785319211313,"version":"3.55.0"},"reference-count":22,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p> COVID-19 pandemic did not impact all countries in the same way, and in Spain, the percentage of intensive care unit (ICU) and the mortality rate patients has been very high. The present work aims to present the first case of the new Coronavirus-2019 (COVID-19) on March 23, 2020, in Tenerife, Canary Islands, Spain, of a patient on Invasive Mechanical Ventilation (IMV) affected by acute pneumonia which was treated by airway clearance techniques (ACT) thinking that she was not infected with COVID-19, since the first polymerase chain reaction (PCR) test was negative. The subject presented septic shock, hypoxemic encephalopathy, and seizures. Right lung base consolidation and pleural effusion were visible in the echography. The thorax x-ray presented subcutaneous emphysema and pleural effusion in the right base and an alveolar-interstitial opacity pattern in the left. Bilateral crackles and rhonchus were evident in the right lung during the lung auscultation. The airway clearance protocol comprises Cough Assist (CA) and chest compressions. The variables collected were the ventilatory parameters, blood gas analysis, and thorax x-ray description. ACT protocol improves gas exchange and expands consolidated lung areas in this atypical clinical case presented. At that time, this type of treatment was not performed on patients affected by COVID-19, and the next day we found that the patient had improved, coinciding with the second PCR test, which was positive. <\/jats:p>","DOI":"10.1177\/2050313x221112507","type":"journal-article","created":{"date-parts":[[2022,7,18]],"date-time":"2022-07-18T12:29:14Z","timestamp":1658147354000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":18,"title":["Spanish experience on the efficacy of airways clearance techniques in SARS-CoV-2 (COVID-19) at intensive care unit: An editorial and case report"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0254-6501","authenticated-orcid":false,"given":"Eleuterio A","family":"S\u00e1nchez Romero","sequence":"first","affiliation":[{"name":"Musculoskeletal Pain and Motor Control Research Group, Faculty of Sport Sciences, Universidad Europea de Madrid, Madrid, Spain"},{"name":"Department of Physiotherapy, Faculty of Sport Sciences, Universidad Europea de Madrid, Madrid, Spain"},{"name":"Musculoskeletal Pain and Motor Control Research Group, Faculty of Health Sciences, Universidad Europea de Canarias, Tenerife, Spain"},{"name":"Department of Physiotherapy, Faculty of Health Sciences, Universidad Europea de Canarias, Tenerife, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Luis","family":"Alonso P\u00e9rez","sequence":"additional","affiliation":[{"name":"Musculoskeletal Pain and Motor Control Research Group, Faculty of Sport Sciences, Universidad Europea de Madrid, Madrid, Spain"},{"name":"Department of Physiotherapy, Faculty of Sport Sciences, Universidad Europea de Madrid, Madrid, Spain"},{"name":"Musculoskeletal Pain and Motor Control Research Group, Faculty of Health Sciences, Universidad Europea de Canarias, Tenerife, Spain"},{"name":"Department of Physiotherapy, Faculty of Health Sciences, Universidad Europea de Canarias, Tenerife, Spain"},{"name":"Onelifecenter, Multidisciplinary Pain Treatment Center, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inmaculada","family":"Vinuesa Su\u00e1rez","sequence":"additional","affiliation":[{"name":"Musculoskeletal Pain and Motor Control Research Group, Faculty of Sport Sciences, Universidad Europea de Madrid, Madrid, Spain"},{"name":"Musculoskeletal Pain and Motor Control Research Group, Faculty of Health Sciences, Universidad Europea de Canarias, Tenerife, Spain"},{"name":"Hospital Universitario Nuestra Se\u00f1ora de Candelaria, Tenerife, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilo","family":"Corbellini","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, LUNEX International University of Health, Exercise and Sports, Differdange, Luxembourg"},{"name":"Casa di cura \u201cVilla Serena,\u201d Piossasco, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge Hugo","family":"Villafa\u00f1e","sequence":"additional","affiliation":[{"name":"IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,7,18]]},"reference":[{"key":"bibr1-2050313X221112507","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)01258-7"},{"key":"bibr2-2050313X221112507","volume-title":"Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected: interim guidance V 1.2","author":"WHO","year":"2020"},{"key":"bibr3-2050313X221112507","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzaa060"},{"key":"bibr4-2050313X221112507","volume":"2015","author":"Connolly B","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr5-2050313X221112507","volume":"2","author":"Yang M","year":"2013","journal-title":"Cochrane Database Syst 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Addressing post-COVID-19 musculoskeletal symptoms through telemedicine: a study protocol. 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