Critical Illness Polyneuropathy and Polymyopathy

In this academic half day for critical care residents, we will cover ICU Acquired Weakness. This is a repost of the original with the sound icon removed and the sound problem at 16:30 fixed. Thanks to Oliver Surowiak for the post about the problem.

[@gamaltaher9714]

Thanks

[@amanda8399]

It would be great for this to be revisited in relation to a critical care Covid patient that survives.

[@anita26069]

Thanks you for the video! I have a question: is it possible to have some references of the articles you have mentioned in the lecture? I'm most interested in the one about Potassium as risk factor. Thank you. Here is a detailed summary of the lecture + time points: 1:25 outcomes 4:25 clinical presentation and differential diagnoses 6:26 failure to wean: most common primary symptom. other causes 10:30 how to diagnose of ICUAW 11:40 diagnosis of critical illness polymyopathy without polyneuropathy 13:30 muscle biopsy 14:00 risk factors CIPN CIPM 17:17 pathophysiology of CIPN NCS Microvascular injury BNB = blood nerve barrier 23:30 Potassium - risk factor? 27:30 Glucose - risk factor? 31:30 pathophysiology of CIPM 38:15 Treatment: dos and donts

[@DarrenHudson]

Hi Anita, I looked through my folders and I can't find the original articles. I recall that the potassium idea was from a review article that is now at least 5 years old.

[@gamaltaher9714]

Is it technically easy to perform EMG & NCS in ICU, with many sources of interference? Which muscle you examined for EMG?

[@drsmiley23]

I want to know more about critical illness neuroypathy?

[@wendyd2831]

My husband has been in the hospital critically ill for 6 weeks he is getting better now but they have done literally almost no physical therapy even though I practically begged them to do something because he already has an incomplete spinal cord injury for 17 years he could still walk when he went in and now he cannot stand up we are hoping he can get his muscles back enough to at least move around the house etc with his walker like before. any advice other than getting into physical therapy right away?

[@swararagkp5237]

Good question...suffring same problem..pls give an correct remedy pls.help.

[@omenaejekpokpo1162]

Hi. I know it has already been 2 years, but has he looked into Occupational Therapy?