منابع مشابه
Nerve excitability changes in critical illness polyneuropathy.
Patients in intensive care units frequently suffer muscle weakness and atrophy due to critical illness polyneuropathy (CIP), an axonal neuropathy associated with systemic inflammatory response syndrome and multiple organ failure. CIP is a frequent and serious complication of intensive care that delays weaning from mechanical ventilation and increases mortality. The pathogenesis of CIP is not we...
متن کاملClinical review: Critical illness polyneuropathy and myopathy
Critical illness polyneuropathy (CIP) and myopathy (CIM) are major complications of severe critical illness and its management. CIP/CIM prolongs weaning from mechanical ventilation and physical rehabilitation since both limb and respiratory muscles can be affected. Among many risk factors implicated, sepsis, systemic inflammatory response syndrome, and multiple organ failure appear to play a cr...
متن کاملApproach to critical illness polyneuropathy and myopathy.
A newly acquired neuromuscular cause of weakness has been found in 25-85% of critically ill patients. Three distinct entities have been identified: (1) critical illness polyneuropathy (CIP); (2) acute myopathy of intensive care (itself with three subtypes); and (3) a syndrome with features of both 1 and 2 (called critical illness myopathy and/or neuropathy or CRIMYNE). CIP is primarily a distal...
متن کاملManagement of critical illness polyneuropathy and myopathy.
A syndrome of generalized weakness, areflexia, and difficulty with weaning from a ventilator is a common clinical presentation in the critically ill patient, especially in the setting of sepsis, multiorgan failure, and hyperglycemia. At first believed to be a manifestation of nerve (critical illness neuropathy, CIN) or muscle (critical illness myopathy, CIM) dysfunction, our current conceptuali...
متن کاملElectrical muscle stimulation for prevention of critical illness polyneuropathy
showing that electrical muscle stimulation (EMS) reduced the frequency of critical illness polyneuropathy in intensive care unit (ICU) patients [1] . Th e authors stated that an intention-to-treat analysis was used. One hundred and forty patients were randomized to electrical stimulation or to usual care. Measurement of the main outcome could only be performed in cooperating patients surviv ing...
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ژورنال
عنوان ژورنال: Sri Lankan Journal of Anaesthesiology
سال: 2014
ISSN: 2279-1965,1391-8834
DOI: 10.4038/slja.v22i1.6119