Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Have we found the prevention for intensive care unit-acquired paresis? | Ali Critical Care 2010 14 160 http content 14 3 160 CRITICAL CARE COMMENTARY L__ Have we found the prevention for intensive care unit-acquired paresis Naeem A Ali See related research by Routsi etal. http content 14 2 R74 Abstract Several recent reports have highlighted the utility of transcutaneous electrical muscle stimulation to preserve muscle mass and strength in ICU patients. Specifically Serafim Nanas and colleagues report a significant reduction in the odds of ICU-acquired weakness with its use. Whether these findings are relevant to all patients with acute respiratory failure remains to be seen. As critical care studies attempt to study the outcome of physical recovery significant additional data need to be provided in order for the results to be reported in the appropriate context. Future studies need to be performed in a setting where secondary injuries like sedation and immobilization are quantified so any benefit can be weighed against other interventions available. Have we found the prevention for ICU-acquired paresis In the previous issue of Critical Care Serafim Nanas and colleagues 1 presented a report of the use of transcutaneous electrical muscle stimulation TEMS in critically ill patients. Its simple application less than 1 hour a day resulted in improved global strength upon recovery. The odds of developing ICU-acquired paresis were reduced by almost 80 . Importantly there is precedent that this simple technology improves strength in other patient groups with at least partial immobilization 2 and the effect may be systemic 3 . Unfortunately despite the magnitude of the observed effect in this patient population many important questions remain unanswered. First why would electrical stimulation of only the lower extremities impact overall strength While systemic effects of TEMS have been Correspondence Division of Pulmonary Allergy Critical Care and Sleep Medicine The Ohio State University .
