Document Detail


Clinical outcomes of critical illness polyneuropathy.
MedLine Citation:
PMID:  11898892     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
It is often difficult to isolate the origin of acute weakness in the critically ill population because of multiple etiologies. Aminoglycosides, corticosteroids, and neuromuscular blockers frequently are implicated as the source of acute weakness. Recently, critical illness polyneuropathy (CIP), a syndrome of unknown etiology, was added to the differential diagnosis. The frequency of CIP is approximately 70% in patients with sepsis. Early studies of CIP, which were mostly retrospective, underestimated its frequency due to the complexity of the diagnosis and unfamiliarity with the syndrome. Prospective studies have explored the causality and clinical outcomes of CIP Clinical outcomes of patients with CIP include difficulty weaning from mechanical ventilation, increased length of stay, prolonged recovery, and an overall mortality rate of 26-71%. The association of CIP with sepsis, multiorgan failure, and drugs is still unclear.
Authors:
Sandra L Kane; Joseph F Dasta
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Pharmacotherapy     Volume:  22     ISSN:  0277-0008     ISO Abbreviation:  Pharmacotherapy     Publication Date:  2002 Mar 
Date Detail:
Created Date:  2002-03-18     Completed Date:  2002-09-23     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8111305     Medline TA:  Pharmacotherapy     Country:  United States    
Other Details:
Languages:  eng     Pagination:  373-9     Citation Subset:  IM    
Affiliation:
School of Pharmacy, University of Pittsburgh, Pennsylvania 15261, USA. KaneSL@msx.upmc.edu
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MeSH Terms
Descriptor/Qualifier:
Clinical Trials as Topic
Electromyography
Humans
Intensive Care Units
Length of Stay
Male
Multiple Organ Failure / complications
Muscle Weakness / complications,  therapy
Phrenic Nerve / physiology
Polyneuropathies / complications,  physiopathology,  therapy*
Respiration, Artificial
Retrospective Studies
Sepsis / complications,  physiopathology
Systemic Inflammatory Response Syndrome / diagnosis,  physiopathology
Ventilator Weaning

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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