Neurology Book

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Critical Illness Myopathy

Aka: Critical Illness Myopathy, Myopathy Following ICU Admission
  1. See Also
    1. Post-ICU Ambulatory Care
    2. Neuropathy Following ICU Admission
  2. Risk Factors: Impacts mobility and stair climbing after ICU admit
    1. Prolonged ICU Stay
    2. Poor baseline health status
    3. Longer duration of Mechanical Ventilation
  3. Pathophysiology
    1. Muscular deconditioning due to prolonged immobilization
    2. Myosin to Actin ratio reduced
    3. Lean Body Mass drops 2% per day with prolonged immobilization
  4. Management
    1. Physical Rehabilitation
    2. Graded Exercise program
    3. Jones (2003) Crit Care Med 31(10):2456-61
  5. Course
    1. Complications associated with deconditioning can persist 12 months after ICU admission
  6. References
    1. Jones (2000) Clin Intensive Care 11(1): 35-8

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