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Acquired respiratory failure in critically ill patients
1Department of Neurology, Indiana University School of Medicine in Indianapolis 46202.
Indiana Medicine : the Journal of the Indiana State Medical Association
|January 1, 1995
Summary
Critical illness polyneuropathy (CIP) is a nerve disorder in critically ill patients. Early recognition and management improve outcomes for this condition, often seen in ICUs.
Area of Science:
- Neurology
- Intensive Care Medicine
Background:
- Critical illness polyneuropathy (CIP) is increasingly recognized due to improved survival rates in acute emergencies.
- CIP is a complication exclusive to critically ill patients, typically manifesting in the Intensive Care Unit (ICU).
Purpose of the Study:
- To describe the characteristics, diagnosis, and management of critical illness polyneuropathy (CIP).
Main Methods:
- Diagnosis is confirmed through Electromyography (EMG).
Main Results:
- CIP presents with septic encephalopathy and generalized weakness, leading to weaning failure, limb weakness, and hyporeflexia.
- Severe cases show poor prognosis with significant axonal degeneration on EMG.
- Milder forms of CIP typically recover within weeks.
Conclusions:
- CIP should be suspected in elderly patients with sepsis and persistent respiratory muscle weakness.
- Management involves treating sepsis, supporting organ function, physical therapy, and nutrition.