Chen Juan, Huang Man
Department of General Intensive Care Unit, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang, China.
J Intensive Med. 2023 Aug 30;4(1):73-80. doi: 10.1016/j.jointm.2023.07.002. eCollection 2024 Jan.
Intensive care unit-acquired weakness (ICU-AW) is a common complication in critically ill patients and is associated with a variety of adverse outcomes. These include the need for prolonged mechanical ventilation and ICU stay; higher ICU, in-hospital, and 1-year mortality; and increased in-hospital costs. ICU-AW is associated with multiple risk factors including age, underlying disease, severity of illness, organ failure, sepsis, immobilization, receipt of mechanical ventilation, and other factors related to critical care. The pathological mechanism of ICU-AW remains unclear and may be considerably varied. This review aimed to evaluate recent insights into ICU-AW from several aspects including risk factors, pathophysiology, diagnosis, and treatment strategies; this provides new perspectives for future research.
重症监护病房获得性肌无力(ICU-AW)是危重症患者常见的并发症,与多种不良后果相关。这些后果包括需要延长机械通气时间和在重症监护病房的停留时间;更高的重症监护病房、住院期间及1年死亡率;以及住院费用增加。ICU-AW与多种危险因素相关,包括年龄、基础疾病、疾病严重程度、器官衰竭、脓毒症、制动、接受机械通气以及其他与重症监护相关的因素。ICU-AW的病理机制尚不清楚,可能有很大差异。本综述旨在从危险因素、病理生理学、诊断和治疗策略等多个方面评估对ICU-AW的最新认识;这为未来的研究提供了新的视角。