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ICU-acquired weakness: should medical sovereignty belong to any specialist?

机译:ICU获得的弱点:医学主权应属于任何专家吗?

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ICU-acquired weakness (ICUAW), including critical illness polyneuropathy, critical illness myopathy, and critical illness polyneuropathy and myopathy, is a frequent disabling disorder in ICU subjects. Research has predominantly been performed by intensivists, whose efforts have permitted the diagnosis of ICUAW early during an ICU stay and understanding of several of the pathophysiological and clinical aspects of this disorder. Despite important progress, the therapeutic strategies are unsatisfactory and issues such as functional outcomes and long-term recovery remain unclear. Studies involving multiple specialists should be planned to better differentiate the ICUAW types and provide proper functional outcome measures and follow-up. A more strict collaboration among specialists interested in ICUAW, in particular physiatrists, is desirable to plan proper care pathways after ICU discharge and to better meet the health needs of subjects with ICUAW.
机译:ICU获得性无力(ICUAW),包括重症多发性神经病,重症性肌病和重症多发性神经病和肌病,是ICU受试者中常见的致残障碍。强化医生主要进行了研究,他们的努力使得在ICU住院期间可以早期诊断出ICUAW,并了解了这种疾病的一些病理生理和临床方面。尽管取得了重要进展,但治疗策略仍不能令人满意,功能性结局和长期恢复等问题仍不清楚。应该计划由多名专家参与的研究,以更好地区分ICUAW类型,并提供适当的功能结果测量和随访。有兴趣在对ICUAW感兴趣的专家(特别是理疗师)之间进行更严格的合作,以计划出ICU出院后的适当护理途径,并更好地满足ICUAW患者的健康需求。

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