Critical illness polyneuromyopathy - a well-known but still
controversial entity

J 2009

Critical illness polyneuromyopathy - a well-known but still controversial entity

BEDNAŘÍK, Josef a Petr VONDRÁČEK

Základní údaje

Originální název

Critical illness polyneuromyopathy - a well-known but still controversial entity

Název česky

Polyneuromyopatie kritického stavu - dobře známá, ale stále kontroverzní entita

Autoři

BEDNAŘÍK, Josef a Petr VONDRÁČEK

Vydání

Scripta Medica, Brno, Masarykova univerzita, 2009, 1211-3395

Další údaje

Typ výsledku

Článek v odborném periodiku

Utajení

není předmětem státního či obchodního tajemství

Označené pro přenos do RIV

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

critical illness; polyneuropathy; myopathy

Příznaky

Recenzováno

Změněno: 18. 1. 2010 11:39, Ing. Dagmar Kratochvílová

Anotace

V originále

Two main clinical, pathological and electrophysiological types of acquired neuromuscular involvement in critically ill patients have been described in the past two decades: critical illness polyneuropathy and critical illness myopathy. However, there, still exist many controversies and unresolved questions regarding definition, terminology, diagnosis, and differentiation of what appears to be a spectrum of more or less overlapping neuromuscular disorders rather than distinct entities, and recently a new term - critical illness polyneuromyopathy (CIPM) has been coined. CIPM may present with muscle weakness and failure to wean from mechanical ventilation, but is discovered more often and earlier by electrophysiological examination. In this review, the incidence, clinical, electrophysiological and histopathological features, and risk factors of CIPM will be described. Among the most important risk factors for CIPM are sepsis or systemic inflammatory response syndrome and the severity of multi-organ failure. Acquired neuromuscular weakness in critically ill patients should be regarded as a part rather than a complication of critical illness - dysfunction or failure of a further (neuromuscular) system.

Citovat

BEDNAŘÍK, Josef a Petr VONDRÁČEK. Critical illness polyneuromyopathy - a well-known but still controversial entity. Scripta Medica. Brno: Masarykova univerzita, 2009, roč. 82, č. 1, s. 27-35. ISSN 1211-3395.

@article{863042,
   author = {Bednařík, Josef and Vondráček, Petr},
   article_location = {Brno},
   article_number = {1},
   keywords = {critical illness; polyneuropathy; myopathy},
   issn = {1211-3395},
   journal = {Scripta Medica},
   title = {Critical illness polyneuromyopathy - a well-known but still controversial entity},
   volume = {82},
   year = {2009}
}

TY  - JOUR
ID  - 863042
AU  - Bednařík, Josef - Vondráček, Petr
PY  - 2009
TI  - Critical illness polyneuromyopathy - a well-known but still controversial entity
JF  - Scripta Medica
VL  - 82
IS  - 1
SP  - 27-35
EP  - 27-35
PB  - Masarykova univerzita
SN  - 12113395
KW  - critical illness
KW  - polyneuropathy
KW  - myopathy
N2  - Two main clinical, pathological and electrophysiological types of acquired neuromuscular involvement in critically ill patients have been described in the past two decades: critical illness polyneuropathy and critical illness myopathy. However, there, still exist many controversies and unresolved questions regarding definition, terminology, diagnosis, and differentiation of what appears to be a spectrum of more or less overlapping neuromuscular disorders rather than distinct entities, and recently a new term - critical illness polyneuromyopathy (CIPM) has been coined. CIPM may present with muscle weakness and failure to wean from mechanical ventilation, but is discovered more often and earlier by electrophysiological examination. In this review, the incidence, clinical, electrophysiological and histopathological features, and risk factors of CIPM will be described. Among the most important risk factors for CIPM are sepsis or systemic inflammatory response syndrome and the severity of multi-organ failure. Acquired neuromuscular weakness in critically ill patients should be regarded as a part rather than a complication of critical illness - dysfunction or failure of a further (neuromuscular) system.
ER  -

BEDNAŘÍK, Josef a Petr VONDRÁČEK. Critical illness polyneuromyopathy - a well-known but still controversial entity. \textit{Scripta Medica}. Brno: Masarykova univerzita, 2009, roč.~82, č.~1, s.~27-35. ISSN~1211-3395.

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