Early signs of critical illness polyneuropathy in ICU patients with systemic inflammatory response syndrome or sepsis

To evaluate with electromyography the incidence and the time of appearance of neuromuscular abnormality in patients with systemic inflammatory response syndrome (SIRS) and/or sepsis. Follow-up study. Intensive care unit of Helsinki University Hospital, Finland. Nine mechanically ventilated patients...

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Bibliographic Details
Published in:Intensive care medicine 2000-09, Vol.26 (9), p.1360-1363
Main Authors: TENNILÄ, A, SALMI, T, PETTILÄ, V, ROINE, R. O, VARPULA, T, TAKKUNEN, O
Format: Article
Language:English
Subjects:
Action potential
Adult
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Conduction
Critical Illness
Electromyography
Emergency and intensive care: infection, septic shock
EMG
Female
Fibrillation
Follow-Up Studies
Hospitals
Humans
Illnesses
Intensive care
Intensive care medicine
Intensive Care Units
Male
Medical sciences
Middle Aged
Multiple organ dysfunction syndrome
Multiple Organ Failure - complications
Muscles
Nervous system
Neuromuscular Diseases - diagnosis
Neuromuscular Diseases - etiology
Neuromuscular Diseases - physiopathology
Patients
Polyneuropathy
Sepsis
Sepsis - complications
Steroids
Systemic Inflammatory Response Syndrome - complications
Velocity
Ventilators
Weaning
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Description
Summary:To evaluate with electromyography the incidence and the time of appearance of neuromuscular abnormality in patients with systemic inflammatory response syndrome (SIRS) and/or sepsis. Follow-up study. Intensive care unit of Helsinki University Hospital, Finland. Nine mechanically ventilated patients with SIRS and/or sepsis. Electromyography and conduction velocity measurements on the 2nd-5th day after admission to the intensive care unit. In all nine patients electromyography revealed signs of neuromuscular abnormality. The means of compound muscle action potential amplitudes of the median and ulnar nerves were decreased. Fibrillation was observed in four patients out of nine. Because neuromuscular abnormalities seem to develop earlier than previously reported, electroneuromyography should be used more frequently as a diagnostic test.
ISSN:0342-4642
1432-1238
DOI:10.1007/s001340000586