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Published in: Critical Care 4/2010

01-08-2010 | Commentary

The role of inflammation in ICU-acquired weakness

Author: Chris Winkelman

Published in: Critical Care | Issue 4/2010

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Abstract

A pilot observational study by Weber-Carstens and colleagues contributes to a mechanistic explanation of the puzzling and complex phenomena of ICU-acquired weakness (ICU-AW). The authors suggest systemic, inflammatory-mediated pathology is the most significant risk factor for ICU-AW. While this finding is somewhat equivocal, it provides important direction for future investigations and illustrates the challenges of interpreting significance in small observational studies.
Literature
1.
go back to reference Weber-Carstens S, Deja M, Koch S, Spranger J, Bubser F, Wernecke KD, Spies CD, Spuler S, Keh D: Risk factors in critical illness myopathy during the early course of critical illness: a prospective observational study. Crit Care 2010, 14: R119. 10.1186/cc9074PubMedCentralCrossRefPubMed Weber-Carstens S, Deja M, Koch S, Spranger J, Bubser F, Wernecke KD, Spies CD, Spuler S, Keh D: Risk factors in critical illness myopathy during the early course of critical illness: a prospective observational study. Crit Care 2010, 14: R119. 10.1186/cc9074PubMedCentralCrossRefPubMed
2.
go back to reference Weber-Carstens S, Koch S, Spuler S, Spies CD, Bubser F, Wernecke KD, Deja M: Nonexcitable muscle membrane predicts intensive care unit-acquired paresis in mechanically ventilated, sedated patients. Crit Care Med 2009, 37: 2632-2637. 10.1097/CCM.0b013e3181a92f28CrossRefPubMed Weber-Carstens S, Koch S, Spuler S, Spies CD, Bubser F, Wernecke KD, Deja M: Nonexcitable muscle membrane predicts intensive care unit-acquired paresis in mechanically ventilated, sedated patients. Crit Care Med 2009, 37: 2632-2637. 10.1097/CCM.0b013e3181a92f28CrossRefPubMed
3.
go back to reference Friedrich O: Critical illness myopathy: What is happening? Curr Opin Clin Nutr Metab Care 2006, 9: 403-409. 10.1097/01.mco.0000232900.59168.a0CrossRefPubMed Friedrich O: Critical illness myopathy: What is happening? Curr Opin Clin Nutr Metab Care 2006, 9: 403-409. 10.1097/01.mco.0000232900.59168.a0CrossRefPubMed
4.
go back to reference Fan E, Zanni JM, Dennison CR, Lepre SJ, Needham DM: Critical illness neuromyopathy and muscle weakness in patients in the intensive care unit. AACN Adv Crit Care 2009, 20: 243-253.CrossRefPubMed Fan E, Zanni JM, Dennison CR, Lepre SJ, Needham DM: Critical illness neuromyopathy and muscle weakness in patients in the intensive care unit. AACN Adv Crit Care 2009, 20: 243-253.CrossRefPubMed
5.
go back to reference Reid MB, Andrade FH, Balke CW, Esser KA: Redox mechanisms of muscle dysfunction in inflammatory disease. Phys Med Rehabil Clin N Am 2005, 16: 925-949.CrossRefPubMed Reid MB, Andrade FH, Balke CW, Esser KA: Redox mechanisms of muscle dysfunction in inflammatory disease. Phys Med Rehabil Clin N Am 2005, 16: 925-949.CrossRefPubMed
6.
go back to reference Griffiths RD, Hall JB: Intensive care unit-acquired weakness. Crit Care Med 2010, 38: 779-787. 10.1097/CCM.0b013e3181cc4b53CrossRefPubMed Griffiths RD, Hall JB: Intensive care unit-acquired weakness. Crit Care Med 2010, 38: 779-787. 10.1097/CCM.0b013e3181cc4b53CrossRefPubMed
7.
go back to reference Kahn JM, Benson NM, Appleby D, Carson SS, Iwashyna TJ: Long-term acute care hospital utilization after critical illness. JAMA 2010, 303: 2253-2259. 10.1001/jama.2010.761PubMedCentralCrossRefPubMed Kahn JM, Benson NM, Appleby D, Carson SS, Iwashyna TJ: Long-term acute care hospital utilization after critical illness. JAMA 2010, 303: 2253-2259. 10.1001/jama.2010.761PubMedCentralCrossRefPubMed
8.
go back to reference Boyd CM, Landfeld CS, Counsell SR, Palmer RM, Fortinsky RH, Kresevic D, Burant C, Covinsky KE: Recovery of activities of daily living in older adults after hospitalization for acute medical illness. J Am Geriatr Soc 2008, 56: 2171-2179. 10.1111/j.1532-5415.2008.02023.xPubMedCentralCrossRefPubMed Boyd CM, Landfeld CS, Counsell SR, Palmer RM, Fortinsky RH, Kresevic D, Burant C, Covinsky KE: Recovery of activities of daily living in older adults after hospitalization for acute medical illness. J Am Geriatr Soc 2008, 56: 2171-2179. 10.1111/j.1532-5415.2008.02023.xPubMedCentralCrossRefPubMed
9.
go back to reference Vincent J-L, Norrenberg M: Intensive care unit-acquired weakness: Framing the topic. Crit Care Med 2009, 37: S296-287. 10.1097/CCM.0b013e3181b6f1e1CrossRefPubMed Vincent J-L, Norrenberg M: Intensive care unit-acquired weakness: Framing the topic. Crit Care Med 2009, 37: S296-287. 10.1097/CCM.0b013e3181b6f1e1CrossRefPubMed
10.
go back to reference Nielsen S, Pedersen BK: Skeletal muscle as an immunogenic organ. Curr Opin Pharmacol 2008, 8: 346-351. 10.1016/j.coph.2008.02.005CrossRefPubMed Nielsen S, Pedersen BK: Skeletal muscle as an immunogenic organ. Curr Opin Pharmacol 2008, 8: 346-351. 10.1016/j.coph.2008.02.005CrossRefPubMed
11.
go back to reference Truong AD, Fan E, Brower RG, Needham DM: Bench-to-bedside review: Mobilizing patients in the intensive care unit - from pathophysiology to clinical trials. Crit Care 2009, 13: 216-224. 10.1186/cc7885PubMedCentralCrossRefPubMed Truong AD, Fan E, Brower RG, Needham DM: Bench-to-bedside review: Mobilizing patients in the intensive care unit - from pathophysiology to clinical trials. Crit Care 2009, 13: 216-224. 10.1186/cc7885PubMedCentralCrossRefPubMed
12.
go back to reference Morley JE, Thomas DR, Wilson M-MG: Cachexia: pathophysiology and clinical relevance. Am J Clin Nutr 2006, 83: 735-743.PubMed Morley JE, Thomas DR, Wilson M-MG: Cachexia: pathophysiology and clinical relevance. Am J Clin Nutr 2006, 83: 735-743.PubMed
13.
go back to reference Levitt JE, Gould MK, Ware LB, Matthay MA: The pathogenetic and prognostic value of biologic markers in acute lung injury. J Intensive Care Med 2009, 24: 151-167. 10.1177/0885066609332603CrossRefPubMed Levitt JE, Gould MK, Ware LB, Matthay MA: The pathogenetic and prognostic value of biologic markers in acute lung injury. J Intensive Care Med 2009, 24: 151-167. 10.1177/0885066609332603CrossRefPubMed
14.
go back to reference Kellum JA, Kong L, Fink MP, Weissfeld LA, Yealy DM, Pinsky MR, Fine J, Kirchevsky A, Delude RL, Angus DC: Understanding the inflammatory cytokine response in pneumonia and sepsis. Arch Intern Med 2007, 167: 1655-1663. 10.1001/archinte.167.15.1655PubMedCentralCrossRefPubMed Kellum JA, Kong L, Fink MP, Weissfeld LA, Yealy DM, Pinsky MR, Fine J, Kirchevsky A, Delude RL, Angus DC: Understanding the inflammatory cytokine response in pneumonia and sepsis. Arch Intern Med 2007, 167: 1655-1663. 10.1001/archinte.167.15.1655PubMedCentralCrossRefPubMed
15.
go back to reference Grimaldi D, Claessens YE, Mira JP, Chiche JD: Beyond clinical phenotype: the biologic integratome. Crit Care Med 2009, 37: S38-49. 10.1097/CCM.0b013e3181920ccaCrossRefPubMed Grimaldi D, Claessens YE, Mira JP, Chiche JD: Beyond clinical phenotype: the biologic integratome. Crit Care Med 2009, 37: S38-49. 10.1097/CCM.0b013e3181920ccaCrossRefPubMed
Metadata
Title
The role of inflammation in ICU-acquired weakness
Author
Chris Winkelman
Publication date
01-08-2010
Publisher
BioMed Central
Published in
Critical Care / Issue 4/2010
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc9187

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