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[Neuromuscular manifestations in critically ill patients].
Ugeskr Laeger. 2007 Jun 04; 169(23):2216-9.UL

Abstract

INTRODUCTION

Critically-ill patients in intensive care units often suffer from weakness of the arms and legs and have difficulty in weaning from the ventilator. If this cannot be explained by the illness itself, it may be due to a critical illness polyneuropathy (CIP) or a critical illness myopathy (CIM) or both. It is difficult to determine the cause of the weakness by conventional methods in an intensive care unit. The objective was to describe the diagnostic yield with electrodiagnostic testing and describe the various patterns and prognosis in these patients.

MATERIALS AND METHODS

55 consecutive patients with a critical illness associated with unexplained weakness of limbs and often respiratory muscles were studied to estimate motor and sensory nerve conduction, electromyography, direct muscle stimulation, and repetitive nerve stimulation.

RESULTS

18 patients had CIM, 16 had CIP and in 9 a combination of CIM and CIP was found. Direct muscle stimulation was more sensitive to show myogenic affection than needle EMG in this patient group.

CONCLUSION

Electrophysiologic tests are valuable in identifying the specific cause of prolonged weakness in critically-ill patients in intensive care units.

Authors+Show Affiliations

Glostrup Hospital, Klinisk Neurofysiologisk Afdeling, Glostrup. torsmi01@glo.regionh.dkNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

dan

PubMed ID

17592690

Citation

Smith, Torben Aagaard, and Martin Ejler Fabricius. "[Neuromuscular Manifestations in Critically Ill Patients]." Ugeskrift for Laeger, vol. 169, no. 23, 2007, pp. 2216-9.
Smith TA, Fabricius ME. [Neuromuscular manifestations in critically ill patients]. Ugeskr Laeger. 2007;169(23):2216-9.
Smith, T. A., & Fabricius, M. E. (2007). [Neuromuscular manifestations in critically ill patients]. Ugeskrift for Laeger, 169(23), 2216-9.
Smith TA, Fabricius ME. [Neuromuscular Manifestations in Critically Ill Patients]. Ugeskr Laeger. 2007 Jun 4;169(23):2216-9. PubMed PMID: 17592690.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Neuromuscular manifestations in critically ill patients]. AU - Smith,Torben Aagaard, AU - Fabricius,Martin Ejler, PY - 2007/6/27/pubmed PY - 2007/7/12/medline PY - 2007/6/27/entrez SP - 2216 EP - 9 JF - Ugeskrift for laeger JO - Ugeskr Laeger VL - 169 IS - 23 N2 - INTRODUCTION: Critically-ill patients in intensive care units often suffer from weakness of the arms and legs and have difficulty in weaning from the ventilator. If this cannot be explained by the illness itself, it may be due to a critical illness polyneuropathy (CIP) or a critical illness myopathy (CIM) or both. It is difficult to determine the cause of the weakness by conventional methods in an intensive care unit. The objective was to describe the diagnostic yield with electrodiagnostic testing and describe the various patterns and prognosis in these patients. MATERIALS AND METHODS: 55 consecutive patients with a critical illness associated with unexplained weakness of limbs and often respiratory muscles were studied to estimate motor and sensory nerve conduction, electromyography, direct muscle stimulation, and repetitive nerve stimulation. RESULTS: 18 patients had CIM, 16 had CIP and in 9 a combination of CIM and CIP was found. Direct muscle stimulation was more sensitive to show myogenic affection than needle EMG in this patient group. CONCLUSION: Electrophysiologic tests are valuable in identifying the specific cause of prolonged weakness in critically-ill patients in intensive care units. SN - 1603-6824 UR - https://www.unboundmedicine.com/medline/citation/17592690/[Neuromuscular_manifestations_in_critically_ill_patients]_ L2 - https://medlineplus.gov/neuromusculardisorders.html DB - PRIME DP - Unbound Medicine ER -