• Crit Care · Jan 2009

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    Weakness in the ICU: a call to action.

    • Robert D Stevens, Nicholas Hart, Bernard de Jonghe, and Tarek Sharshar.
    • Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA. rstevens@jhmi.edu
    • Crit Care. 2009 Jan 1;13(6):1002.

    AbstractMuscle weakness is prevalent in critically ill patients and can have a dramatic effect on short- and long-term outcomes, yet there are currently no interventions with proven efficacy in preventing or treating this complication. In a new randomized trial, researchers found that serial electrical muscle stimulation significantly mitigated ultrasound-defined muscle atrophy, and the treatment was not linked to adverse effects. Although preliminary, these results, together with other recent studies, indicate a paradigm shift to a proactive approach in managing neuromuscular complications in the ICU.

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