Borré-Naranjo Diana, Rodríguez-Yánez Tomás, Almanza-Hurtado Amilkar, Martínez-Ávila María Cristina, Dueñas-Castell Carmelo
Department of Critical Care Medicine, Universidad de Cartagena, Cartagena, Colombia.
Department of Epidemiology and Public Health, Universidad de Cartagena, Cartagena, Colombia.
Clin Med Insights Case Rep. 2022 Jun 20;15:11795476221106759. doi: 10.1177/11795476221106759. eCollection 2022.
Neuromuscular complications in the intensive care unit (ICU) are frequent, multifactorial, and clinically difficult to recognize during their acute phase. The physical examination is the starting point for identification.
We present a patient with a history of poorly controlled asthma who was admitted to the ICU with status asthmaticus. After 4 days of being under ventilatory support, he developed muscle weakness. The diagnostic approach made it possible to establish myopathic and neurological compromise through electrophysiology studies.
ICU-acquired weakness (ICUAW) can bring long-term consequences, early identification, and management, as well as preventive measures, are essential to minimize chronic disability and morbidity.
重症监护病房（ICU）中的神经肌肉并发症很常见，具有多因素性，并且在急性期临床诊断困难。体格检查是识别的起点。
我们报告一名哮喘控制不佳病史的患者，因哮喘持续状态入住ICU。在接受通气支持4天后，他出现了肌肉无力。通过电生理研究，诊断方法得以确定肌病和神经功能损害。
ICU获得性肌无力（ICUAW）可带来长期后果，早期识别、管理以及预防措施对于将慢性残疾和发病率降至最低至关重要。
