Critical Illness Polyneuropathy Following Cardiac Surgery
Critical illness polyneuropathy (CIP), a neurologic complication which may occur secondary to surgery, trauma and coma, is associated with sepsis or multiple organ failure (MOF). CIP is characterized by an axonal distal degeneration of sensory and motor fibres. The patients will often become neurolo...
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| Veröffentlicht in: | Scandinavian cardiovascular journal : SCJ 1998, Vol.32 (5), p.309-312 |
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| container_title | Scandinavian cardiovascular journal : SCJ |
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| creator | PIPER, S. N KOETTER, K. P TRIEM, J. G GUERLER, S SCHMIDT, C SAGGAU, W BOLDT, J |
| description | Critical illness polyneuropathy (CIP), a neurologic complication which may occur secondary to surgery, trauma and coma, is associated with sepsis or multiple organ failure (MOF). CIP is characterized by an axonal distal degeneration of sensory and motor fibres. The patients will often become neurologically conspicious when weaning from mechanical ventilation is unexpectedly difficult. In such cases electrophysiologic examinations must be performed. CIP following cardiac surgery is widely unrecognized. The most important aspect of CIP therapy is treatment of the underlying disease, because no specific treatment for CIP exists. We report on a 64-year old patient who developed sepsis and CIP following cardiovascular surgery. The neurological complication was initially misinterpreted as hypoxic brain damage. |
| doi_str_mv | 10.1080/14017439850139933 |
| format | Article |
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The neurological complication was initially misinterpreted as hypoxic brain damage.</description><identifier>ISSN: 1401-7431</identifier><identifier>EISSN: 1651-2006</identifier><identifier>DOI: 10.1080/14017439850139933</identifier><identifier>PMID: 9835008</identifier><language>eng</language><publisher>Copenhagen: Informa UK Ltd</publisher><subject>Anti-Bacterial Agents - therapeutic use ; Biological and medical sciences ; Coronary Artery Bypass - adverse effects ; Coronary Disease - diagnosis ; Coronary Disease - surgery ; Critical Illness ; Fever - etiology ; Fever - therapy ; Follow-Up Studies ; Humans ; Male ; Medical sciences ; Middle Aged ; Multiple Organ Failure - etiology ; Multiple Organ Failure - therapy ; Peripheral Nervous System Diseases - etiology ; Peripheral Nervous System Diseases - therapy ; Respiration, Artificial ; Sepsis - etiology ; Sepsis - therapy ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the heart ; Treatment Outcome</subject><ispartof>Scandinavian cardiovascular journal : SCJ, 1998, Vol.32 (5), p.309-312</ispartof><rights>1998 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 1998</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c430t-10b47727b1384ee32ba443138ad3be92e77cd5b44614796994b63fda7a62c95e3</citedby><cites>FETCH-LOGICAL-c430t-10b47727b1384ee32ba443138ad3be92e77cd5b44614796994b63fda7a62c95e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/14017439850139933$$EPDF$$P50$$Ginformaworld$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/14017439850139933$$EHTML$$P50$$Ginformaworld$$H</linktohtml><link.rule.ids>314,776,780,4010,27900,27901,27902,59620,60409,61194,61375</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2438214$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9835008$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>PIPER, S. N</creatorcontrib><creatorcontrib>KOETTER, K. P</creatorcontrib><creatorcontrib>TRIEM, J. G</creatorcontrib><creatorcontrib>GUERLER, S</creatorcontrib><creatorcontrib>SCHMIDT, C</creatorcontrib><creatorcontrib>SAGGAU, W</creatorcontrib><creatorcontrib>BOLDT, J</creatorcontrib><title>Critical Illness Polyneuropathy Following Cardiac Surgery</title><title>Scandinavian cardiovascular journal : SCJ</title><addtitle>Scand Cardiovasc J</addtitle><description>Critical illness polyneuropathy (CIP), a neurologic complication which may occur secondary to surgery, trauma and coma, is associated with sepsis or multiple organ failure (MOF). CIP is characterized by an axonal distal degeneration of sensory and motor fibres. The patients will often become neurologically conspicious when weaning from mechanical ventilation is unexpectedly difficult. In such cases electrophysiologic examinations must be performed. CIP following cardiac surgery is widely unrecognized. The most important aspect of CIP therapy is treatment of the underlying disease, because no specific treatment for CIP exists. We report on a 64-year old patient who developed sepsis and CIP following cardiovascular surgery. The neurological complication was initially misinterpreted as hypoxic brain damage.</description><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Coronary Artery Bypass - adverse effects</subject><subject>Coronary Disease - diagnosis</subject><subject>Coronary Disease - surgery</subject><subject>Critical Illness</subject><subject>Fever - etiology</subject><subject>Fever - therapy</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multiple Organ Failure - etiology</subject><subject>Multiple Organ Failure - therapy</subject><subject>Peripheral Nervous System Diseases - etiology</subject><subject>Peripheral Nervous System Diseases - therapy</subject><subject>Respiration, Artificial</subject><subject>Sepsis - etiology</subject><subject>Sepsis - therapy</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the heart</subject><subject>Treatment Outcome</subject><issn>1401-7431</issn><issn>1651-2006</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kF1LwzAUhoMoc378AC-EXoh31ZwmbRr0RoYfg4GCel1O09RVsmYmLaP_3sjmQIRdJfA-7-Gch5AzoFdAc3oNnILgTOYpBSYlY3tkDFkKcUJpth_-IY8DAIfkyPtPSiHNUxiRkcxZSmk-JnLimq5RaKKpMa32PnqxZmh17-wSu_kQPVhj7KppP6IJuqpBFb327kO74YQc1Gi8Pt28x-T94f5t8hTPnh-nk7tZrDijXQy05EIkogSWc61ZUiIPC7EcK1ZqmWghVJWWnGfAhcyk5GXG6goFZomSqWbH5HI9d-nsV699Vywar7Qx2Grb-0KEOySkMoCwBpWz3jtdF0vXLNANBdDiR1fxT1fonG-G9-VCV9vGxk_ILzY5-iCpdtiqxm-xhLM8AR6w2zXWtLV1C1xZZ6qiw8FY99thu7a4-VOfazTdXKHTxaftXRv07rjhG68vlc8</recordid><startdate>1998</startdate><enddate>1998</enddate><creator>PIPER, S. N</creator><creator>KOETTER, K. P</creator><creator>TRIEM, J. 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G ; GUERLER, S ; SCHMIDT, C ; SAGGAU, W ; BOLDT, J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c430t-10b47727b1384ee32ba443138ad3be92e77cd5b44614796994b63fda7a62c95e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Coronary Artery Bypass - adverse effects</topic><topic>Coronary Disease - diagnosis</topic><topic>Coronary Disease - surgery</topic><topic>Critical Illness</topic><topic>Fever - etiology</topic><topic>Fever - therapy</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multiple Organ Failure - etiology</topic><topic>Multiple Organ Failure - therapy</topic><topic>Peripheral Nervous System Diseases - etiology</topic><topic>Peripheral Nervous System Diseases - therapy</topic><topic>Respiration, Artificial</topic><topic>Sepsis - etiology</topic><topic>Sepsis - therapy</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the heart</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>PIPER, S. N</creatorcontrib><creatorcontrib>KOETTER, K. P</creatorcontrib><creatorcontrib>TRIEM, J. 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G</au><au>GUERLER, S</au><au>SCHMIDT, C</au><au>SAGGAU, W</au><au>BOLDT, J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Critical Illness Polyneuropathy Following Cardiac Surgery</atitle><jtitle>Scandinavian cardiovascular journal : SCJ</jtitle><addtitle>Scand Cardiovasc J</addtitle><date>1998</date><risdate>1998</risdate><volume>32</volume><issue>5</issue><spage>309</spage><epage>312</epage><pages>309-312</pages><issn>1401-7431</issn><eissn>1651-2006</eissn><abstract>Critical illness polyneuropathy (CIP), a neurologic complication which may occur secondary to surgery, trauma and coma, is associated with sepsis or multiple organ failure (MOF). CIP is characterized by an axonal distal degeneration of sensory and motor fibres. The patients will often become neurologically conspicious when weaning from mechanical ventilation is unexpectedly difficult. In such cases electrophysiologic examinations must be performed. CIP following cardiac surgery is widely unrecognized. The most important aspect of CIP therapy is treatment of the underlying disease, because no specific treatment for CIP exists. We report on a 64-year old patient who developed sepsis and CIP following cardiovascular surgery. The neurological complication was initially misinterpreted as hypoxic brain damage.</abstract><cop>Copenhagen</cop><cop>Oslo</cop><cop>Stockholm</cop><pub>Informa UK Ltd</pub><pmid>9835008</pmid><doi>10.1080/14017439850139933</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1401-7431 |
| ispartof | Scandinavian cardiovascular journal : SCJ, 1998, Vol.32 (5), p.309-312 |
| issn | 1401-7431 1651-2006 |
| language | eng |
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| source | Taylor & Francis; MEDLINE |
| subjects | Anti-Bacterial Agents - therapeutic use Biological and medical sciences Coronary Artery Bypass - adverse effects Coronary Disease - diagnosis Coronary Disease - surgery Critical Illness Fever - etiology Fever - therapy Follow-Up Studies Humans Male Medical sciences Middle Aged Multiple Organ Failure - etiology Multiple Organ Failure - therapy Peripheral Nervous System Diseases - etiology Peripheral Nervous System Diseases - therapy Respiration, Artificial Sepsis - etiology Sepsis - therapy Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart Treatment Outcome |
| title | Critical Illness Polyneuropathy Following Cardiac Surgery |
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