• Neurologic clinics · Nov 2017

    Review

    Intensive Care Unit-Acquired Weakness.

    • Christopher L Kramer.
    • Department of Neurology, University of Chicago, 5841 South Maryland Avenue, MC 2050, Chicago, IL 60637, USA. Electronic address: ckramer1@neurology.bsd.uchicago.edu.
    • Neurol Clin. 2017 Nov 1; 35 (4): 723-736.

    AbstractIntensive care unit-acquired weakness (ICUAW) is a substantial contributor to long-term disability in survivors of critical illness. Critical illness polyneuropathy, critical illness myopathy, and muscle atrophy from disuse contribute in various proportions to ICUAW. ICUAW is a clinical diagnosis supported by electrophysiology and newer diagnostic tests, such as muscle ultrasound. Risk factor reduction, including the aggressive treatment of sepsis and early mobilization, improves outcome. Although some patients with ICUAW experience a full recovery, for others improvement is slow and incomplete and quality of life is adversely affected. This article examines aspects of ICUAW and identifies potential areas of further study.Copyright © 2017 Elsevier Inc. All rights reserved.

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