神经肌肉超声波在重症监护室中 - - 获得的弱点:当前状态和未来方向
Felix Klawitter1, Uwe Walter2, Hubertus Axer3
1Department of Anesthesiology, Intensive Care Medicine and Pain Therapy, Rostock University Medical Center, Schillingallee 35, 18057 Rostock, Germany.
Medicina (Kaunas, Lithuania)
|May 27, 2023
概括
在重症监护室获得的弱点 (ICUAW) 给评估带来了挑战. 神经肌肉超声波 (NMUS) 提供了一种非侵入性的床边方法,用于评估重症患者的肌肉和神经变化,有助于预测结果.
科学领域:
- 关键护理医学 关键护理医学
- 神经学 神经学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 在重症监护室获得的软弱 (ICUAW) 是重症患者常见的并发症,导致肌肉缩和功能障碍.
- 由于镇静,妄想和认知障碍,评估ICUAW很困难,限制了手动肌肉测试等传统方法.
- 现有的替代诊断方法 (活检,EMG,生物标志物) 通常是侵入性的,耗时的,并且对于常规的ICU使用来说不切实际.
研究的目的:
- 审查当前关于神经肌肉超声波 (NMUS) 在诊断和监测重症监护室获得的软弱 (ICUAW) 的应用的科学文献.
- 突出NMUS的诊断价值和潜力,作为ICUAW的背景下的一种非侵入性工具.
- 讨论NMUS在重症监护机构的现状和未来前景.
主要方法:
- 这篇叙事综述系统地搜索和分析了最近的科学文献,重点是重症监护室获得的弱点 (ICUAW) 中的神经肌肉超声波 (NMUS).
- 该审查综合了研究中的研究结果,研究NMUS用于检测和监测重症患者的肌肉和神经变化.
- 重点是评估NMUS作为一个独立于合规的诊断工具.
主要成果:
- 神经肌肉超声波 (NMUS) 在各种神经肌肉疾病中显示出显著的诊断价值.
- 在ICUAW的背景下,NMUS可以有效地检测和监测肌肉和神经的变化.
- 初步证据表明,NMUS可能有助于预测重症监护中的患者结果.
结论:
- 神经肌肉超声波 (NMUS) 是一个有前途的,非侵入性的,床边可访问的诊断工具,用于重症监护室获得的软弱 (ICUAW).
- 在重症患者中,NMUS为评估肌肉和神经完整性的侵入性方法提供了切实可行的替代方案.
- 对NMUS应用的进一步研究可以提高ICUAW的管理和预测.
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