Unit of Neuro-Rehabilitation, Hospital IRCCS "Casa Sollievo della Sofferenza", Viale dei Cappuccini, 71013, San Giovanni Rotondo, FG, Italy.
Crit Care. 2018 Jan 4;22(1):1. doi: 10.1186/s13054-017-1923-7.
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.
ICU 获得性肌无力（ICUAW），包括危重病性多发性神经病、危重病性肌病，以及危重病性多发性神经病和肌病，是 ICU 患者中一种常见的致残性疾病。研究主要由重症监护医师进行，他们的努力使得能够在 ICU 住院期间早期诊断 ICUAW，并了解该疾病的一些病理生理和临床方面。尽管取得了重要进展，但治疗策略仍不尽如人意，功能结局和长期恢复等问题仍不清楚。应计划涉及多个专科医生的研究，以更好地区分 ICUAW 类型，并提供适当的功能结局测量和随访。重症监护医师之间更严格的合作是必要的，特别是物理治疗师，以规划 ICU 出院后的适当护理途径，并更好地满足 ICUAW 患者的健康需求。
