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- Title
Ultrasonography to measure quadriceps muscle in critically ill patients: A literature review of reported methodologies.
- Authors
Weinel, Luke M.; Summers, Matthew J.; Chapple, Lee-Anne
- Abstract
Muscle wasting in the intensive care unit (ICU) is common and may impair functional recovery. Ultrasonography (US) presents a modern solution to quantify skeletal muscle size and monitor muscle wasting. However, no standardised methodology for the conduct of ultrasound-derived quadriceps muscle layer thickness or cross-sectional area in this population exists. The aim of this study was to compare methodologies reported for the measurement of quadriceps muscle layer thickness (MLT) and cross-sectional area (CSA) using US in critically ill patients. Databases PubMed, Ovid, Embase, and CINAHL were searched for original research publications that reported US-derived quadriceps MLTand/or CSA conducted in critically ill adult patients. Data were extracted from eligible studies on parameters relating to US measurement including anatomical location, patient positioning, operator technique and image analysis. It was identified that there was a clear lack of reported detail and substantial differences in the reported methodology used for all parameters. A standardised protocol and minimum reporting standards for US-derived measurement of quadriceps muscle size in ICU is required to allow for consistent measurement techniques and hence interpretation of results.
- Publication
Anaesthesia & Intensive Care, 2019, Vol 47, Issue 5, p423
- ISSN
0310-057X
- Publication type
Article
- DOI
10.1177/0310057X19875152