The intensive care unit acquired weakness (ICUAW) is one of the most frequently complications after ICU admission. The resulting sequelae may occur even years after discharge from the ICU, unfortunately there are scanty data about effectively treatment that can counteract the muscle deconditioning. Neuromuscular electrical stimulation (NMES), widely used for several purposes, aims to maintain muscle trophism and function in critically ill patients. NMES may also be used as a diagnostic tool, that can provide important information on the muscle state. This chapter provides the basic concepts, physiological mechanisms of NMES, and the latest evidence in the treatment of sepsis and acute respiratory failure, proposing an algorithm, and focusing on the proper execution of this physical therapy.
Neuromuscular Electrical Stimulation in Critically Ill Patients
Fagoni, Nazzareno;
2017-01-01
Abstract
The intensive care unit acquired weakness (ICUAW) is one of the most frequently complications after ICU admission. The resulting sequelae may occur even years after discharge from the ICU, unfortunately there are scanty data about effectively treatment that can counteract the muscle deconditioning. Neuromuscular electrical stimulation (NMES), widely used for several purposes, aims to maintain muscle trophism and function in critically ill patients. NMES may also be used as a diagnostic tool, that can provide important information on the muscle state. This chapter provides the basic concepts, physiological mechanisms of NMES, and the latest evidence in the treatment of sepsis and acute respiratory failure, proposing an algorithm, and focusing on the proper execution of this physical therapy.
I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
