• Curr Opin Crit Care · Aug 2021

    Review

    Monitoring muscle mass using ultrasound: a key role in critical care.

    • Isabel M van Ruijven, Sandra N Stapel, Jeroen Molinger, and WeijsPeter J MPJMDepartment of Adult Intensive Care Medicine.Department of Nutrition and Dietetics, Amsterdam University Medical Centers, VU University, Amsterdam.Department of Nutrition and Dietetics, Faculty of Sports and Nutrition, Center of Expertise .
    • Department of Adult Intensive Care Medicine.
    • Curr Opin Crit Care. 2021 Aug 1; 27 (4): 354-360.

    Purpose Of ReviewThe loss of muscle mass in critically ill patients contributes to morbidity and mortality, and results in impaired recovery of physical functioning. The number of publications on the topic is increasing. However, there is a lack of consistent methodology and the most optimal methodology remains unclear, hampering its broad use in clinical practice.Recent FindingsThere is a large variety of studies recently published on the use of ultrasound for assessment of muscle mass. A selection of studies has been made, focusing on monitoring of muscle mass (repeated measurements), practical aspects, feasibility and possible nutrition and physical therapy interventions. In this review, 14 new small (n = 19-121) studies are categorized and reviewed as individual studies.SummaryThe use of ultrasound in clinical practice is feasible for monitoring muscle mass in critically ill patients. Assessment of muscle mass by ultrasound is clinically relevant and adds value for guiding therapeutic interventions, such as nutritional and physical therapy interventions to maintain muscle mass and promote recovery in critically ill patients.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

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