Key result
Neuromuscular ultrasound is a promising, non-invasive diagnostic tool that can detect and monitor alterations of muscles and nerves in intensive care unit-acquired weakness.
Why the study?
Clinical examination and compliance-independent tests for ICUAW are limited by patient factors, invasiveness, and practical challenges, highlighting the need to review bedside neuromuscular ultrasound.
Does neuromuscular ultrasound (NMUS) help detect and monitor alterations of muscles and nerves and predict patient outcome in critically ill patients with intensive care unit-acquired weakness (ICUAW)?
Does neuromuscular ultrasound (NMUS) help detect and monitor alterations of muscles and nerves and predict patient outcome in critically ill patients with intensive care unit-acquired weakness (ICUAW)?
Neuromuscular ultrasound is a promising, non-invasive, bedside-accessible tool for diagnosing and monitoring intensive care unit-acquired weakness.
Intensive care unit-acquired weakness (ICUAW) is one of the most common causes of muscle atrophy and functional disability in critically ill intensive care patients. Clinical examination, manual muscle strength testing and monitoring are frequently hampered by sedation, delirium and cognitive impairment. Many different attempts have been made to evaluate alternative compliance-independent methods, such as muscle biopsies, nerve conduction studies, electromyography and serum biomarkers. However, they are invasive, time-consuming and often require special expertise to perform, making them vastly impractical for daily intensive care medicine. Ultrasound is a broadly accepted, non-invasive, bedside-accessible diagnostic tool and well established in various clinical applications. Hereby, neuromuscular ultrasound (NMUS), in particular, has been proven to be of significant diagnostic value in many different neuromuscular diseases. In ICUAW, NMUS has been shown to detect and monitor alterations of muscles and nerves, and might help to predict patient outcome. This narrative review is focused on the recent scientific literature investigating NMUS in ICUAW and highlights the current state and future opportunities of this promising diagnostic tool.
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Klawitter et al. (2023) conducted a review in Intensive care unit-acquired weakness (ICUAW). Neuromuscular ultrasound (NMUS) was evaluated. Neuromuscular ultrasound is a promising, non-invasive diagnostic tool that can detect and monitor alterations of muscles and nerves in intensive care unit-acquired weakness.
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