Ilgai intensyviosios terapijos skyriuje gydytų ligonių kritinių būklių neuroraumeninis pažeidimas

Critical illness neuromuscular abnormality is the most common cause of muscle weakness in the intensive care unit. Interest in the intensive care unit-acquired weakness has increased significantly. This has been undoubtedly influenced by the achievement of the intensive therapy, allowing patients to survive the most serious conditions. At present, the exact frequency of this problem remains unknown, as the risk and pathophysiological factors. There is the lack of sufficient data on the manifestation, prophylaxis, treatment, and outcome of the disease. The data of 105 patients after long-term treatment in the intensive care unit were analyzed. Complex assessment of patients was performed – complaints and neurological signs were evaluated, and a comprehensive neurophysiological examination was performed. Based on the modern diagnostic criteria, a neuromuscular damage associated with a critical illness was confirmed. We proved, that critical illness neuromuscular damage is common complication in the intensive care unit. Patients were followed up after discharge from the hospital. We have also identified the most sensitive and specific clinical and neurophysiological signs of critical illness neuromuscular abnormality. Based on the results of the study, we determined that unfavorable prognosis may be associated with older age and severity of condition at the admission to the intensive care unit