II. Pathophysiology
- Neurogenic atrophy and axonal degeneration results in acute motor and sensory denervation
- Results in leg and respiratory Muscle Weakness
III. Risk Factors
- Prolonged ICU Admission
- Sepsis
- Multiorgan Failure
- Hyperglycemia
IV. Diagnosis
- Similar diagnostic criteria for Myopathy Following ICU Admission
- Limb Weakness AND
- Unexplained difficult mechanical Ventilator Weaning
V. Management
- Physical rehabilitation
- No current evidence to support for confirmed Polyneuropathy (and no Myopathy)
- Contrast with Myopathy Following ICU Admission in which physical therapyis effective
- Neuropathic pain management
- Capsaicin Cream
- Anticonvulsants such as Gabapentin (Neurontin) or Pregabalin (Lyrica)
- Selective Serotonin Reuptake Inhibitors (SSRI)
- Serotonin Norepinephrine Reuptake Inhibitors such as Venlafaxine (Effexor) or Duloxetine (Cymbalta)
VI. Course
- Nerve function improves as medical disorders improve, but weakness and numbness may persist
- Resolves in most cases within 3 years of ICU discharge
VII. Prevention
- Early mobilization in ICU improves mobility and strength
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Related Studies
Concepts | Disease or Syndrome (T047) |
MSH | D011115 |
ICD9 | 357.82 |
ICD10 | G62.81 |
SnomedCT | 230594005 |
English | Crit illness-assoc polyneurop, Critical illness polyneuropath, polyneuropathy due to critical illness (diagnosis), polyneuropathy due to critical illness, Critical Illness Polyneuropathies, Polyneuropathies, Critical Illness, Critical Illness Polyneuropathy, Crit illness neuropathy, critical illness polyneuropathy, Critical illness polyneuropathy, Critical illness-associated polyneuropathy, Critical illness polyneuropathy (disorder), Polyneuropathy, Critical Illness |
Dutch | kritieke ziekte neuropathie |
French | Polyneuropathie de maladie critique, Polyneuropathie associée à un état critique |
German | Critical Illness-Neuropathie |
Italian | Polineuropatia in condizioni cliniche critiche, Polineuropatia in condizioni critiche |
Portuguese | Polineuropatia de doença crítica |
Spanish | Polineuropatía del paciente crítico, enfermedad crítica con polineuropatía (trastorno), enfermedad crítica con polineuropatía |
Japanese | 重症疾患多発ニューロパチー, ジュウショウシッカンタハツニューロパチー |
Czech | Polyneuropatie u kritické choroby, polyneuropatie kriticky nemocných |
Hungarian | Polyneuropathia kritikus betegségben |
Norwegian | Polynevropati ved kritisk sykdom |