지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 1 - 13 (13page)
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초록· 키워드
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Some patients admitted to the intensive care unit (ICU) because of an acute illness, complicated surgery, or multiple traumas develop muscle weakness affecting the limbs and respiratory muscles during acute care in the ICU. This condition is referred to as ICU-acquired weakness (ICUAW), and can be evoked by critical illness polyneuropathy (CIP), critical illness myopathy (CIM), or critical illness polyneuromyopathy (CIPNM). ICUAW is diagnosed using the Medical Research Council (MRC) sum score based on bedside manual muscle testing in cooperative patients. The MRC sum score is the sum of the strengths of the 12 regions on both sides of the upper and lower limbs. ICUAW is diagnosed when the MRC score is less than 48 points. However, some patients require electrodiagnostic studies, such as a nerve conduction study, electromyography, and direct muscle stimulation, to differentiate between CIP and CIM. Pulmonary rehabilitation in the ICU can be divided into modalities intended to remove retained airway secretions and exercise therapies intended to improve respiratory function. Physical rehabilitation, including early mobilization, positioning, and limb exercises, attenuates the weakness that occurs during critical care. To perform mobilization in mechanically ventilated patients, pretreatment by removing secretions is necessary. It is also important to increase the strength of respiratory muscles and to perform lung recruitment to improve mobilization in patients who are weaned from the ventilator. For these reasons, pulmonary rehabilitation is important in addition to physical therapy. Early recognition of CIP, CIM, and CIPNM and early rehabilitation in the ICU might improve patients’ functional recovery and outcomes.
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참고문헌 (71)
참고문헌 신청
Hashem MD / 2016 / Early mobilization and rehabilitation of patients who are critically ill / Chest 150:722~731
Hermans G / 2015 / Clinical review : intensive care unit acquired weakness / Crit Care 19:274
Shepherd S / 2017 / Review of critical illness myopathy and neuropathy / Neurohospitalist 7:41~48
De Jonghe B / 2002 / Paresis acquired in the intensive care unit : a prospective multicenter study / JAMA 288:2859~2867
Linos K / 2007 / Critical illness weakness : common questions / Curr Anaesth Crit Care 18:252~260
Hermans G / 2015 / Clinical review : intensive care unit acquired weakness / Crit Care 19:274
Shepherd S / 2017 / Review of critical illness myopathy and neuropathy / Neurohospitalist 7:41~48
De Jonghe B / 2002 / Paresis acquired in the intensive care unit : a prospective multicenter study / JAMA 288:2859~2867
Linos K / 2007 / Critical illness weakness : common questions / Curr Anaesth Crit Care 18:252~260
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