Neurology Book

http://www.fpnotebook.com/

Critical Illness Polyneuropathy

Aka: Critical Illness Polyneuropathy, Myopathy Following ICU Admission
Advertisement
  1. See Also
    1. Post-ICU Ambulatory Care
    2. Myopathy Following ICU Admission
    3. Polyneuropathy
    4. Peripheral Neuropathy
  2. Pathophysiology
    1. Neurogenic atrophy and degeneration results in acute motor and sensory denervation
    2. Results in leg and respiratory Muscle Weakness
  3. Risk Factors
    1. Prolonged ICU Admission
    2. Sepsis
    3. Multiorgan Failure
  4. Management
    1. Physical rehabilitation
    2. Neuropathic pain management
      1. Capsaicin Cream
      2. Anticonvulsants such as Gabapentin (Neurontin)
      3. Selective Serotonin Reuptake Inhibitors (SSRI)
      4. Venlafaxine (Effexor)
  5. Course
    1. Resolves within 3 years of ICU discharge
  6. References
    1. Bolton (2001) Crit Care Med 29(12):2388-90
    2. Volk (2009) Am Fam Physician 79(6): 459-64

Navigation Tree