ICU-acquired weakness: Should medical sovereignty belong to any specialist?

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Abstract

ICU-acquired weakness (ICUAW), including critical illness polyneuropathy, critical illness myopathy, and critical illness polyneuropathy and myopathy, is a frequent disabling disorder in ICU subjects. Research has predominantly been performed by intensivists, whose efforts have permitted the diagnosis of ICUAW early during an ICU stay and understanding of several of the pathophysiological and clinical aspects of this disorder. Despite important progress, the therapeutic strategies are unsatisfactory and issues such as functional outcomes and long-term recovery remain unclear. Studies involving multiple specialists should be planned to better differentiate the ICUAW types and provide proper functional outcome measures and follow-up. A more strict collaboration among specialists interested in ICUAW, in particular physiatrists, is desirable to plan proper care pathways after ICU discharge and to better meet the health needs of subjects with ICUAW.

Original languageEnglish
Article number1
JournalCritical Care
Volume22
Issue number1
DOIs
Publication statusPublished - Jan 1 2018

Keywords

  • Critical illness polyneuropathy
  • ICU-acquired weakness
  • Intensivist
  • Multi-specialist
  • Recovery

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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