Severe critically ill polyneuropathy (CIP) is a neurologic syndrome with potential effects on ventilatory weaning. Fifteen CIP patients with the following clinical criteria were diagnosed: limb weakness, amyotrophy, and reduced deep tendon reflexes. Electromyogram (EMG) confirmed polyneuropathy by the following signs: denervation, normal nerve conduction velocities, normal distal latencies, and decreased compound action potential. It was observed that motor signs were more important than sensitivity. EMG performed during ICU hospitalization showed axonal abnormalities. Ventilation and mean duration of weaning were unusually long. Four patients had EMG a few years after discharge; the recovery was delayed and incomplete. The present study suggests that CIP is a multifactorial disease.
机构:
UNIV WESTERN ONTARIO, VICTORIA HOSP, DEPT CLIN NEUROL SCI, POB 5375, LONDON N6A 4G5, ONTARIO, CANADAUNIV WESTERN ONTARIO, VICTORIA HOSP, DEPT CLIN NEUROL SCI, POB 5375, LONDON N6A 4G5, ONTARIO, CANADA
机构:
GEORGE WASHINGTON UNIV,MED CTR,DEPT ANESTHESIOL,DIV CRIT CARE MED,WASHINGTON,DC 20037GEORGE WASHINGTON UNIV,MED CTR,DEPT ANESTHESIOL,DIV CRIT CARE MED,WASHINGTON,DC 20037
COVERT, CR
;
BRODIE, SB
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机构:
GEORGE WASHINGTON UNIV,MED CTR,DEPT ANESTHESIOL,DIV CRIT CARE MED,WASHINGTON,DC 20037GEORGE WASHINGTON UNIV,MED CTR,DEPT ANESTHESIOL,DIV CRIT CARE MED,WASHINGTON,DC 20037
BRODIE, SB
;
ZIMMERMAN, JE
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机构:
GEORGE WASHINGTON UNIV,MED CTR,DEPT ANESTHESIOL,DIV CRIT CARE MED,WASHINGTON,DC 20037GEORGE WASHINGTON UNIV,MED CTR,DEPT ANESTHESIOL,DIV CRIT CARE MED,WASHINGTON,DC 20037
机构:
UNIV WESTERN ONTARIO, VICTORIA HOSP, DEPT CLIN NEUROL SCI, POB 5375, LONDON N6A 4G5, ONTARIO, CANADAUNIV WESTERN ONTARIO, VICTORIA HOSP, DEPT CLIN NEUROL SCI, POB 5375, LONDON N6A 4G5, ONTARIO, CANADA
机构:
GEORGE WASHINGTON UNIV,MED CTR,DEPT ANESTHESIOL,DIV CRIT CARE MED,WASHINGTON,DC 20037GEORGE WASHINGTON UNIV,MED CTR,DEPT ANESTHESIOL,DIV CRIT CARE MED,WASHINGTON,DC 20037
COVERT, CR
;
BRODIE, SB
论文数: 0引用数: 0
h-index: 0
机构:
GEORGE WASHINGTON UNIV,MED CTR,DEPT ANESTHESIOL,DIV CRIT CARE MED,WASHINGTON,DC 20037GEORGE WASHINGTON UNIV,MED CTR,DEPT ANESTHESIOL,DIV CRIT CARE MED,WASHINGTON,DC 20037
BRODIE, SB
;
ZIMMERMAN, JE
论文数: 0引用数: 0
h-index: 0
机构:
GEORGE WASHINGTON UNIV,MED CTR,DEPT ANESTHESIOL,DIV CRIT CARE MED,WASHINGTON,DC 20037GEORGE WASHINGTON UNIV,MED CTR,DEPT ANESTHESIOL,DIV CRIT CARE MED,WASHINGTON,DC 20037