Recent advance in intensive care unit-acquired muscle weakness

doi:10.3877/cma.j.issn.2095-9141.2018.03.011

Abstract

Abstract:

Many critically ill patients or those who experienced complicated operations often need to be treated in the intensive care unit (ICU) to get through the dangerous period. Among them, some patients have diferent degrees of limb weakness, weakness of respiratory muscle strength, diminished deep tendon reflex and other symptoms for a variety of reasons, and the concept of ICU-acquired weakness (ICUAW) has been proposed for this phenomenon by some researchers. It is reported that the difficulty in diagnosis of ICUAW and its slowly recovery are main reasons leading to the difficulty of weaning and prolonged hospitalization, which have a great impact on the positive prognosis of critically ill patients. What’s more, it also causes the excessive consumption of medical resources from the perspective of social economics. With the progress of electrophysiology and various diagnostic methods, considerable progress has been made in the pathogenesis and treatment of ICUAW. This article will make an overview focusing on the definition and classification, basic features, pathophysiological mechanisms, diagnosis and prevention of ICUAW.

Key words: Acquired muscle weakness, Intensive care unit, Diagnosis

Ronghao Wan, Yifan Chen, Lei Li, Liang Gao. Recent advance in intensive care unit-acquired muscle weakness[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2018, 04(03): 175-178.

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