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Related Concept Videos

Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

253
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
253
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

302
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
302
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

264
 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
264
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

200
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
200
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

285
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
285
Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

264
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
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Related Experiment Video

Updated: Dec 31, 2025

Author Spotlight: Regenerative Peripheral Nerve Interface (RPNI) Surgery in Postamputation Pain Management
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Critical Illness Polyneuropathy (CIP): a multicenter study on functional outcome.

Zaira Symeonidou1,2, Kassiani Theodoraki3, Athanasios Chalkias4

  • 1Department of Physical Medicine and Rehabilitation, General Hospital of Attica "KAT", 14561 Athens, Greece.

Giornale Italiano Di Medicina Del Lavoro Ed Ergonomia
|April 5, 2019
PubMed
Summary

Functional recovery in Critical Illness Polyneuropathy (CIP) patients varied, with some showing good outcomes. Heterotopic ossification was a negative prognostic factor for functional recovery in these patients.

Keywords:
CIP functional outcomeCIP outcome prognostic factorsCIP return to workCritical illnessCritical illness polyneuropathy

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Critical Care Medicine

Background:

  • Critical Illness Polyneuropathy (CIP) significantly impacts patient recovery and functional outcomes.
  • Understanding prognostic factors is crucial for optimizing rehabilitation strategies for CIP survivors.

Purpose of the Study:

  • To assess the functional recovery of inpatients with Critical Illness Polyneuropathy (CIP) at discharge from rehabilitation.
  • To identify prognostic factors influencing functional outcomes in CIP patients.

Main Methods:

  • Retrospective observational clinical study conducted in three Greek rehabilitation units (2010-2014).
  • Analysis of Barthel Index (BI) scores at discharge.
  • Evaluation of factors including age, gender, pre-ICU diagnosis, tracheostomy, heterotopic ossification, and rehabilitation duration.

Main Results:

  • Over half of the 16 subjects (57.1%) achieved BI discharge scores >60, indicating potential for independence.
  • Female patients showed a trend towards better functional outcomes compared to males.
  • Respiratory, septic, and neurologic diagnoses predicted better functional improvement than cardiac diagnoses.
  • Heterotopic ossification was identified as an adverse independent prognostic factor for functional outcome (p=0.023).

Conclusions:

  • A significant proportion of CIP patients experience severe disability at discharge, with limited prospects for return to work.
  • This study, the first focusing solely on CIP outcomes, defines specific prognostic factors.
  • Results provide pilot data for larger studies to draw firmer conclusions on CIP prognosis.