دورية أكاديمية
أعرض في EDS

[Intensive care unit-acquired weakness-Diagnostic value of neuromuscular ultrasound].

التفاصيل البيبلوغرافية
العنوان: [Intensive care unit-acquired weakness-Diagnostic value of neuromuscular ultrasound].
عنوان ترانسليتريتد: Intensive Care Unit-Acquired Weakness – diagnostischer Stellenwert des neuromuskulären Ultraschalls.
المؤلفون: Klawitter F; Klinik und Poliklinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Universitätsmedizin Rostock, Schillingallee 35, 18057, Rostock, Deutschland., Walter U; Klinik und Poliklinik für Neurologie, Universitätsmedizin Rostock, Gehlsheimer Str. 20, 18147, Rostock, Deutschland., Axer H; Klinik für Neurologie, Universitätsklinikum Jena, Am Klinikum 1, 07747, Jena, Deutschland., Ehler J; Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum Jena, Am Klinikum 1, 07747, Jena, Deutschland. johannes.ehler@med.uni-jena.de.
المصدر: Die Anaesthesiologie [Anaesthesiologie] 2023 Aug; Vol. 72 (8), pp. 543-554. Date of Electronic Publication: 2023 Jun 13.
نوع المنشور: English Abstract; Journal Article; Review
اللغة: German
بيانات الدورية: Publisher: Springer Medizin Country of Publication: Germany NLM ID: 9918384886806676 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2731-6866 (Electronic) Linking ISSN: 27316858 NLM ISO Abbreviation: Anaesthesiologie Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [Heidelberg, Germany] : Springer Medizin, [2022]-
مواضيع طبية MeSH: Intensive Care Units* , Muscle Weakness*/diagnostic imaging , Polyneuropathies*, Critical Care ; Critical Illness ; Muscular Diseases ; Humans
مستخلص: Intensive care unit-acquired weakness (ICUAW) is one of the most common neuromuscular complications in intensive care medicine. The clinical diagnosis and assessment of the severity using established diagnostic methods (e.g., clinical examination using the Medical Research Council Sum Score or electrophysiological examination) can be difficult or even impossible, especially in sedated, ventilated and delirious patients. Neuromuscular ultrasound (NMUS) has increasingly been investigated in ICUAW as an easy to use noninvasive and mostly patient compliance-independent diagnostic alternative. It has been shown that NMUS appears to be a promising tool to detect ICUAW, to assess the severity of muscular weakness and to monitor the clinical progression. Further studies are needed to standardize the methodology, to evaluate the training effort and to optimize outcome predication. The formulation of an interdisciplinary neurological and anesthesiological training curriculum is warranted to establish NMUS as a complementary diagnostic method of ICUAW in daily clinical practice.
(© 2023. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.)
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فهرسة مساهمة: Keywords: Critical illness myopathy; Critical illness polyneuropathy; Diagnostic imaging; Muscle, skeletal; Peripheral nerves
Local Abstract: [Publisher, German] Die Intensive Care Unit-Acquired Weakness (ICUAW) stellt eine der häufigsten neuromuskulären Komplikationen in der Intensivmedizin dar. Besonders bei analgosedierten, beatmeten oder deliranten Patienten können die klinische Diagnosestellung und Schweregradbeurteilung anhand etablierter diagnostischer Methoden (z. B. der klinischen Untersuchung mithilfe des Medical Research Council Sum Score oder elektrophysiologischen Untersuchungen) schwierig bis unmöglich werden. Der neuromuskuläre Ultraschall (NMUS) ist als eine einfach anwendbare, nichtinvasive und weitgehend von der Patienten-Compliance unabhängige Untersuchungsmöglichkeit zunehmend häufiger bei ICUAW untersucht worden. Hierbei konnte gezeigt werden, dass NMUS dazu geeignet zu sein scheint, eine ICUAW zu detektieren, den Schweregrad der muskulären Schwäche einzuschätzen und den klinischen Verlauf zu monitoren. Weiterführende Studien zur Vereinheitlichung der Untersuchungsmethodik, zur Evaluation des Trainingsaufwandes und zur Outcome-Prädikation sind notwendig. Die Formulierung eines interdisziplinären (neurologisch-anästhesiologischen) Weiterbildungscurriculums könnte die Grundlage der Etablierung des NMUS als komplementäres Verfahren zur Diagnostik der ICUAW in der klinischen Praxis bilden.
تواريخ الأحداث: Date Created: 20230613 Date Completed: 20230810 Latest Revision: 20230810
رمز التحديث: 20231215
DOI: 10.1007/s00101-023-01300-5
PMID: 37310449
قاعدة البيانات: MEDLINE
الوصف
تدمد:2731-6866
DOI:10.1007/s00101-023-01300-5