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 |
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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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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.</description><identifier>ISSN: 1673-5374</identifier><identifier>EISSN: 1876-7958</identifier><identifier>DOI: 10.4103/1673-5374.125337</identifier><identifier>PMID: 25206749</identifier><language>eng</language><publisher>India: Medknow Publications and Media Pvt. Ltd</publisher><subject>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</subject><ispartof>Neural regeneration research, 2014, Vol.9 (1), p.101-110</ispartof><rights>COPYRIGHT 2014 Medknow Publications and Media Pvt. Ltd.</rights><rights>2014. This article is published under (http://creativecommons.org/licenses/by-nc-sa/3.0/) (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © Wanfang Data Co. Ltd. All Rights Reserved.</rights><rights>Copyright: © Neural Regeneration Research 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4685-5667f15e714a0645bf92d91deeba61352e7afccb9b3d4dad3634d961bd3bb3273</citedby><cites>FETCH-LOGICAL-c4685-5667f15e714a0645bf92d91deeba61352e7afccb9b3d4dad3634d961bd3bb3273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/88507X/88507X.jpg</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4146320/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4146320/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,4022,27922,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25206749$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhou, Chunkui</creatorcontrib><creatorcontrib>Wu, Limin</creatorcontrib><creatorcontrib>Ni, Fengming</creatorcontrib><creatorcontrib>Ji, Wei</creatorcontrib><creatorcontrib>Wu, Jiang</creatorcontrib><creatorcontrib>Zhang, Hongliang</creatorcontrib><title>Critical illness polyneuropathy and myopathy: a systematic review</title><title>Neural regeneration research</title><addtitle>Neural Regeneration Research</addtitle><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.</description><subject>Apoptosis</subject><subject>Bioenergetics</subject><subject>Care and treatment</subject><subject>Cytokines</subject><subject>Development and progression</subject><subject>Diagnosis</subject><subject>Edema</subject><subject>Electromyography</subject><subject>Evidence-Based Medicine</subject><subject>Hormones</subject><subject>Hyperglycemia</subject><subject>Hypoxia</subject><subject>Illnesses</subject><subject>Intensive care</subject><subject>Kinases</subject><subject>Medical research</subject><subject>Metabolism</subject><subject>Multiple organ dysfunction syndrome</subject><subject>Muscle diseases</subject><subject>Nervous system</subject><subject>Permeability</subject><subject>Polyneuropathies</subject><subject>Respiratory distress syndrome</subject><subject>Sepsis</subject><subject>Systematic review</subject><subject>Velocity</subject><subject>多发性</subject><subject>病性</subject><subject>病理生理</subject><subject>神经病</subject><subject>神经系统疾病</subject><subject>肌病</subject><subject>评价</subject><subject>重症监护</subject><issn>1673-5374</issn><issn>1876-7958</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNptkstu1DAUhiMEoqWwZ4WC2CChDL472VSqRtykSmxgbTnxScajxJ7ak1bpo_AsvBOvgKPMDBQhL3w5___56OjPspcYrRhG9D0WkhacSrbChFMqH2XnuJSikBUvH6fzsXyWPYtxixAvK0KfZmeEEyQkq86z9TrYvW10n9u-dxBjvvP95GAMfqf3mynXzuTDtFx-_fyR6zxOcQ-DTq48wK2Fu-fZk1b3EV4c9ovs-8cP39afi-uvn76sr66LhomSF1wI2WIOEjONBON1WxFTYQNQa4EpJyB12zR1VVPDjDZUUGYqgWtD65oSSS-yy4W7G-sBTANuH3SvdsEOOkzKa6seVpzdqM7fKoaZoAQlwLsFcKddq12ntn4MLrWs7ru4vY_TVgFBmCGMME_qt4fvgr8ZIe7VYGMDfa8d-DEqzEXiCo5Ikr75R3oiE1oSyTnl4o-q0z0o61qfumxmqLqipURpPnxmrf6jSsvAYBvvoLXp_YEBLYYm-BgDtKeJYKTmmKg5B2rOgVpikiyv_p7kyXDMRRK8PjA33nU3Ns3qqGGlIJIwRn8Db_PDWg</recordid><startdate>2014</startdate><enddate>2014</enddate><creator>Zhou, Chunkui</creator><creator>Wu, Limin</creator><creator>Ni, Fengming</creator><creator>Ji, Wei</creator><creator>Wu, Jiang</creator><creator>Zhang, Hongliang</creator><general>Medknow Publications and Media Pvt. 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Ltd</general><general>Department of Neurology, the First Bethune Hospital, Jilin University, Changchun 130021, Jilin Province, China%Department of Radiotherapy, 0ncology Center, the First Bethune Hospital, Jilin University, Changchun 130021, Jilin Province, China%Department of Vascular Surgery, People’s Hospital of Jilin Province, Changchun 130000, Jilin Province, China</general><general>Medknow Publications & Media Pvt Ltd</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M2M</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>2B.</scope><scope>4A8</scope><scope>92I</scope><scope>93N</scope><scope>PSX</scope><scope>TCJ</scope><scope>5PM</scope></search><sort><creationdate>2014</creationdate><title>Critical illness polyneuropathy and myopathy: a systematic review</title><author>Zhou, Chunkui ; 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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.</abstract><cop>India</cop><pub>Medknow Publications and Media Pvt. Ltd</pub><pmid>25206749</pmid><doi>10.4103/1673-5374.125337</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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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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