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- Title
ICU Acquired Weakness.
- Authors
Sung Won Na; Shin Ok Koh
- Abstract
Critical care has focused on recovery from acute organ failure and resuscitation. Neuromuscular abnormalities related to critical illness is not uncommon in critically ill patients, but ihey were relatively underestimated and unnoticed. Intensive care unit acquired weakness (ICUAW) leading to severe functional impairments in ICU survivors can be divided into two disease entities: critical illness polyneuropathy (CIP) and critical illness myopathy (CIM). Electrophysiologic study, muscle biopsy anc physical examination are helpful to diagnose ICUAW. Several researches and reviews identified many risk factors including systemic inflammation, corticosteroids, hyperglycemia, and immobility. Additional research is needed to identify the pathogenesis of this disorder and to testify its preventive or therapeutic modalities.
- Subjects
NOSOCOMIAL infections; INTENSIVE care units; NEUROMUSCULAR diseases; POLYNEUROPATHIES; INVASIVE electrophysiologic testing; HYPERGLYCEMIA; THERAPEUTICS
- Publication
Korean Journal of Critical Care Medicine, 2011, Vol 26, Issue 4, p203
- ISSN
1229-4802
- Publication type
Article
- DOI
10.4266/kjccm.2011.26.4.203