Neuromuscular manifestations of critical illness Export

@article{citeulike:869718, abstract = {Critical illness, more precisely defined as the systemic inflammatory response syndrome (SIRS), occurs in 20\%-50\% of patients who have been on mechanical ventilation for more than 1 week in an intensive care unit. Critical illness polyneuropathy (CIP) and myopathy (CIM), singly or in combination, occur commonly in these patients and present as limb weakness and difficulty in weaning from the ventilator. Critical illness myopathy can be subdivided into thick-filament (myosin) loss, cachectic myopathy, acute rhabdomyolysis, and acute necrotizing myopathy of intensive care. SIRS is the predominant underlying factor in CIP and is likely a factor in CIM even though the effects of neuromuscular blocking agents and steroids predominate in CIM. Identification and characterization of the polyneuropathy and myopathy depend upon neurological examination, electrophysiological studies, measurement of serum creatine kinase, and, if features suggest a myopathy, muscle biopsy. The information is valuable in deciding treatment and prognosis. Muscle Nerve, 2005}, address = {Department of Neurology, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, Minnesota 55905, USA}, author = {Bolton, Charles F.}, citeulike-article-id = {869718}, citeulike-linkout-0 = {http://dx.doi.org/10.1002/mus.20304}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/15825186}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=15825186}, citeulike-linkout-3 = {http://www3.interscience.wiley.com/cgi-bin/abstract/110438667/ABSTRACT}, doi = {10.1002/mus.20304}, issn = {1097-4598}, journal = {Muscle \& Nerve}, keywords = {criticalillnessmyopathy, criticalillnessneuropathy, icu}, month = {August}, number = {2}, pages = {140--163}, posted-at = {2009-03-29 22:25:33}, priority = {2}, title = {Neuromuscular manifestations of critical illness}, url = {http://dx.doi.org/10.1002/mus.20304}, volume = {32}, year = {2005} }

TY - JOUR ID - citeulike:869718 L3 - citeulike-article-id:869718 N2 - Critical illness, more precisely defined as the systemic inflammatory response syndrome (SIRS), occurs in 20%-50% of patients who have been on mechanical ventilation for more than 1 week in an intensive care unit. Critical illness polyneuropathy (CIP) and myopathy (CIM), singly or in combination, occur commonly in these patients and present as limb weakness and difficulty in weaning from the ventilator. Critical illness myopathy can be subdivided into thick-filament (myosin) loss, cachectic myopathy, acute rhabdomyolysis, and acute necrotizing myopathy of intensive care. SIRS is the predominant underlying factor in CIP and is likely a factor in CIM even though the effects of neuromuscular blocking agents and steroids predominate in CIM. Identification and characterization of the polyneuropathy and myopathy depend upon neurological examination, electrophysiological studies, measurement of serum creatine kinase, and, if features suggest a myopathy, muscle biopsy. The information is valuable in deciding treatment and prognosis. Muscle Nerve, 2005 IS - 2 JF - Muscle & Nerve SN - 1097-4598 AD - Department of Neurology, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, Minnesota 55905, USA EP - 163 TI - Neuromuscular manifestations of critical illness VL - 32 SP - 140 KW - criticalillnessmyopathy KW - criticalillnessneuropathy KW - icu AU - Bolton, Charles PY - 2005/08// UR - http://dx.doi.org/10.1002/mus.20304 ER -