Critical illness polyneuropathy and myopathy: a systematic review

Critical illness polyneuropathy and critical illness myopathy are frequent complications of severe illness that involve sensorimotor axons and skeletal muscles, respectively. Clinically, they manifest as limb and respiratory muscle weakness. Critical illness polyneuropathy/myopathy in isolation or c...

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Veröffentlicht in:Neural regeneration research 2014, Vol.9 (1), p.101-110
Hauptverfasser: Zhou, Chunkui, Wu, Limin, Ni, Fengming, Ji, Wei, Wu, Jiang, Zhang, Hongliang
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container_title Neural regeneration research
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creator Zhou, Chunkui
Wu, Limin
Ni, Fengming
Ji, Wei
Wu, Jiang
Zhang, Hongliang
description Critical illness polyneuropathy and critical illness myopathy are frequent complications of severe illness that involve sensorimotor axons and skeletal muscles, respectively. Clinically, they manifest as limb and respiratory muscle weakness. Critical illness polyneuropathy/myopathy in isolation or combination increases intensive care unit morbidity via the inability or difficulty in weaning these patients off mechanical ventilation. Many patients continue to suffer from decreased exercise capacity and compromised quality of life for months to years after the acute event. Substantial progress has been made lately in the understanding of the pathophysiology of critical illness polyneuropathy and myopathy. Clinical and ancillary test results should be carefully interpreted to differentiate critical illness polyneuropathy/myopathy from similar weaknesses in this patient population. The present review is aimed at providing the latest knowledge concerning the pathophysiology of critical illness polyneuropathy/myopathy along with relevant clinical, diagnostic, differentiating, and treatment information for this debilitat- ing neurological disease.
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subjects Apoptosis
Bioenergetics
Care and treatment
Cytokines
Development and progression
Diagnosis
Edema
Electromyography
Evidence-Based Medicine
Hormones
Hyperglycemia
Hypoxia
Illnesses
Intensive care
Kinases
Medical research
Metabolism
Multiple organ dysfunction syndrome
Muscle diseases
Nervous system
Permeability
Polyneuropathies
Respiratory distress syndrome
Sepsis
Systematic review
Velocity
多发性
病性
病理生理
神经病
神经系统疾病
肌病
评价
重症监护
title Critical illness polyneuropathy and myopathy: a systematic review
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