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from Section 7 - Comfort and Recovery
Published online by Cambridge University Press: 27 July 2023
Key Learning Points
1. Around 40 per cent of patients develop clinically detectable muscle weakness known as intensive care unit-acquired weakness (ICU-AW) that can lead to long-term functional deficit.
2. Accurate diagnosis of ICU-AW can be achieved through nerve conduction studies, electromyography, muscle biopsy and ultrasound of muscle cross-sectional area; however, more commonly, a clinical diagnosis is made using the Medical Research Council (MRC) Sum Score of muscle strength.
3. Prevention and timely management of sepsis is the optimal way to mitigate the risk of ICU-AW.
4. Minimising sedation, optimising pain relief, encouraging spontaneous breathing, early mobility and family engagement are the foundations of best quality care.
5. Rehabilitation should start early after admission to the intensive care unit and continue to at least 3 months after hospital discharge.
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