ICU-acquired weakness: what is preventing its rehabilitation in critically ill patients?

BMC Med. 2012 Oct 3;10:115. doi: 10.1186/1741-7015-10-115.

Abstract

Intensive care unit-acquired weakness (ICUAW) has been recognized as an important and persistent complication in survivors of critical illness. The absence of a consistent nomenclature and diagnostic criteria for ICUAW has made research in this area challenging. Although many risk factors have been identified, the data supporting their direct association have been controversial. Presently, there is a growing body of literature supporting the utility and benefit of early mobility in reducing the morbidity from ICUAW, but few centers have adopted this into their ICU procedures. Ultimately, the implementation of such a strategy would require a shift in the knowledge and culture within the ICU, and may be facilitated by novel technology and patient care strategies. The purpose of this article is to briefly review the diagnosis, risk factors, and management of ICUAW, and to discuss some of the barriers and novel treatments to improve outcomes for our ICU survivors.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Critical Care / methods*
  • Critical Illness*
  • Humans
  • Muscle Weakness / diagnosis*
  • Muscle Weakness / prevention & control*
  • Muscle Weakness / therapy
  • Physical Therapy Modalities*
  • Rehabilitation / methods*