Early Mobilization

Question 1

Clinically detected weakness in critically ill patients in whom there is no plausibile etiology other than critical illness

Answer 1

ICU-Acquired Weakness

Question 2

the constellation of complications that endure well past the ICU stay.

Answer 2

Post-intensive care syndrome PICS

Question 3

Risk factors for post-ICU mortality

Answer 3

Age
Comorbidity
Severity of illness
Duration of ICU Delirium
Sepsis

Question 4

ICU-AW further classified into

Answer 4

Critical illness myopathy
Critical illness Polyneuropathy
Critical illness neuromyopathy

Question 5

CIM can be subclassified into

Answer 5

Cachectic myopathy

Thick filament myopathy

Necrotizing myopathy

Question 6

How do you distinguish CIP and CIM

Answer 6

Electrophysiological testing and histology eval

Question 7

Which ICU-AW occurs earlier and more frequent ?

Which is associated with longer ICU stay?

Answer 7

Myopathy

Polyneuropathy

Question 8

5 clinical features of ICU-AW

Answer 8

1) Weakness after onset of critical illness
2) Weakness is proximal and distal, symmetrical
3) Muscle strength <48/60 on MRC
4) Dependent on Mechanical Vent
5) Cause of weakness not related to critical illness

Question 9

Dx of ICU-AW is presence of ..

Answer 9

1,2,5 and either 3 or 4

Question 10

Patients with ICU-AW will demonstrate weakness prior to

Answer 10

Detectable muscle wasting

Question 11

Disuse atrophy can demonstrate muscle atrophy and loss of muscle strength within

Answer 11

First week

Question 12

ICU-AW can cause ____ decrease in strength in first week

Answer 12

40%

Question 13

Associated with adverse affects on multiple aspects of Diaphragmatic structure and function

Answer 13

Controlled MV