Rehab In ICU

Question 1

What is meant by the term critical illness neuromyopathy?

Answer 1

Generalised weakness developing after the onset of critical illness. Diffuse, spares cranial nerves

Question 2

Discuss consequences of ICU acquired weakness

Answer 2

Prolonged recovery
Poor early mobility
Long term weakness in some patients

Question 3

Discuss the role of the physio in preventing and treating ICU acquired weakness

Answer 3

glycemic monitoring
decreased sedation
adequate nutrition
early mobilisation
Avoid corticosteroids and neuromuscular blocking agents

Question 4

Discuss the causes of ICU acquired weakness (critical illness neuromyopathy)

Answer 4

Prolonged bed rest causes decrease mm protein synthesis, and this mass. Increased mm catabolism
Immobility impairs micro vascular function and indices insulin resistance
Pro-inflammatory mediators
Postural hypotension and tachycardia