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- Title
Intensive Care Unit-Acquired Weakness – diagnostischer Stellenwert des neuromuskulären Ultraschalls.
- Authors
Klawitter, Felix; Walter, Uwe; Axer, Hubertus; Ehler, Johannes
- Abstract
Intensive care unit-acquired weakness (ICUAW) is one of the most common neuromuscular complications in intensive care medicine. The clinical diagnosis and assessment of the severity using established diagnostic methods (e.g., clinical examination using the Medical Research Council Sum Score or electrophysiological examination) can be difficult or even impossible, especially in sedated, ventilated and delirious patients. Neuromuscular ultrasound (NMUS) has increasingly been investigated in ICUAW as an easy to use noninvasive and mostly patient compliance-independent diagnostic alternative. It has been shown that NMUS appears to be a promising tool to detect ICUAW, to assess the severity of muscular weakness and to monitor the clinical progression. Further studies are needed to standardize the methodology, to evaluate the training effort and to optimize outcome predication. The formulation of an interdisciplinary neurological and anesthesiological training curriculum is warranted to establish NMUS as a complementary diagnostic method of ICUAW in daily clinical practice.
- Subjects
SKELETAL muscle physiology; INTENSIVE care units; PREDICTIVE tests; PERIPHERAL neuropathy; NEUROMUSCULAR diseases; MUSCLE weakness; DIAGNOSTIC imaging; CATASTROPHIC illness; ELECTROPHYSIOLOGY; POLYNEUROPATHIES
- Publication
Die Anaesthesiologie, 2023, Vol 72, Issue 8, p543
- ISSN
2731-6858
- Publication type
Article
- DOI
10.1007/s00101-023-01300-5