Detection of critical illness polyneuropathy (CIP) in patients with severe sepsis using ultrasound of the muscle
A Grimm, J Zinke, OW Witte, H Axer · Klinische Neurophysiologie · 2012 · Heft 03
Bibliografische Angaben
Zusammenfassung
Critical illness polyneuropathy is an often seen phenomenon in patients with severe sepsis in intensive care units. Its clinical manifestation is affection of the limb and respiratory muscles and causes weakness and complications in weaning from ventilation. CIP is a primary axonal neuropathy. Its leading electrophysiological sign is a reduction of CMAP and nerve action potential amplitudes. In a small feasibility study we are looking for structural changes in muscle structure and for spontaneous activity in the muscle, e.g. fasciculation, using ultrasound. We use an ultrasound scanner with 9–12 Mhz and are comp…