tailieunhanh - Báo cáo y học: "Intensive care unit acquired muscle weakness: when should we consider rehabilitation"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Intensive care unit acquired muscle weakness: when should we consider rehabilitation? | Available online http content 13 4 167 Commentary Intensive care unit acquired muscle weakness when should we consider rehabilitation Zudin Puthucheary 1 and Nicholas Hart2 1Lane Fox Respiratory Unit Department of Critical Care Guy s St Thomas NHS Foundation Trust Westminster Bridge Road London SE1 7EH UK 2Lane Fox Respiratory Unit Department of Critical Care NIHR Comprehensive Biomedical Research Centre Guy s St Thomas NHS Foundation Trust and King s College London Westminster Bridge Road London SE1 7EH UK Corresponding author Nicholas Hart Published 20 July 2009 This article is online at http content 13 4 167 2009 BioMed Central Ltd Critical Care 2009 13 167 doi cc7937 See related review by Truong et al. http content 13 4 216 Abstract Muscle weakness is highly prevalent during acute critical illness with the poor exercise performance that occurs after critical illness being recognized as a consequence of skeletal muscles weakness. Advanced techniques to measure peripheral muscle strength are available but they have limited use in the clinical setting. Simple volitional methods to assess strength are limited because they rely on patient motivation which can be problematic in the critical care setting. At present the mechanisms that underlie skeletal muscle wasting and weakness are poorly understood but use of rehabilitation early in critical illness appears to have beneficial effects on outcome. The future direction will be to determine the underlying mechanisms as well as developing rehabilitation programmes during both the acute and the post critical illness stages. In this month s issue of Critical Care Truong and coworkers 1 review the data on skeletal muscle dysfunction after acute critical illness. Increasingly recognized skeletal muscle weakness can be commonplace in the intensive care unit ICU setting with a single centre study demonstrating that 25 of patients have muscle weakness 2 . .