Download PDF
neuroreha 2019; 11(02): 65-70
DOI: 10.1055/a-0884-7276
Schwerpunkt
© Georg Thieme Verlag KG Stuttgart · New York

Prognose und prognosegestützte Therapie bei chronisch kritisch Kranken

Auf der Intensivstation erworbenes Schwächesyndrom
Jan Mehrholz
,
Simone Thomas
,
Bernhard Elsner
Further Information

Publication History

Publication Date:
02 July 2019 (online)

    Permissions and Reprints

Auf der Intensivstation behandelte Patienten können unter bestimmten Voraussetzungen ein erworbenes Schwächesyndrom entwickeln. Es resultiert aus mindestens drei Funktionsstörungen, die isoliert oder gemeinsam auftreten können. Weitere Risikofaktoren erhöhen die Wahrscheinlichkeit einer Erkrankung. Wie sieht die Prognose aus, ist die Frage, der sich dieser Artikel widmet.

 

  • Literatur

  • 1 Angus D, van der Poll T. Severe sepsis and septic shock. N Engl J Med 2013; 369: 840-851
    CrossrefPubMedGoogle Scholar
  • 2 Bolton CF. Neuromuscular manifestations of critical illness. Muscle & Nerve 2005; 32: 140-163
    CrossrefPubMedGoogle Scholar
  • 3 De Jonghe B, Lacherade J, Durand M. et al. Critical illness neuromuscular syndromes. Crit Care Clin 2007; 23: 55-69
    CrossrefPubMedGoogle Scholar
  • 4 Doherty N, Steen CD. Critical illness polyneuromyopathy (CIPNM); rehabilitation during critical illness. Therapeutic options in nursing to promote recovery: A review of the literature. Intensive Crit Care Nurs 2010; 26: 353-362
    CrossrefPubMedGoogle Scholar
  • 5 Friedrich O, Hund E. Critical illness myopathy in intensive care patients: Pathogenetic concepts and clinical management. Anaesthesist 2006; 55: 1271-1280
    CrossrefPubMedGoogle Scholar
  • 6 Hermans G, De Jonghe B, Bruyninckx F. et al. Clinical review: Critical illness polyneuropathy and myopathy. Crit Care 2008; 12: 238
    CrossrefPubMedGoogle Scholar
  • 7 Herridge MS, Cheung AM, Tansey CM. et al. One-year outcomes in survivors of the acute respiratory distress syndrome. N Engl J Med 2003; 348: 683-693
    CrossrefPubMedGoogle Scholar
  • 8 Herridge MS, Tansey CM, Matte A. et al. Functional disability 5 years after acute respiratory distress syndrome. N Engl J Med 2011; 364: 1293-1304
    CrossrefPubMedGoogle Scholar
  • 9 Heyland DK, Groll D, Caeser M. Survivors of acute respiratory distress syndrome: Relationship between pulmonary dysfunction and long-term health-related quality of life. Crit Care Med 2005; 33: 1549-1556
    CrossrefPubMedGoogle Scholar
  • 10 Hund E. Neurological complications of sepsis: Critical illness polyneuropathy and myopathy. J Neurol 2001; 248: 929-934
    CrossrefPubMedGoogle Scholar
  • 11 Ickenstein G. Assessment of neurogenic dysphagia. In: Ickenstein G. ed. Diagnosis and Treatment of Neurogenic Oropharyngeal Dysphagia. Bremen: Unimed; 2011: 31-66
    Google Scholar
  • 12 Kleyweg RP, van der Meche FG, Schmitz PI. Interobserver agreement in the assessment of muscle strength and functional abilities in Guillain-Barré syndrome. Muscle Nerve 1991; 14: 1103-1109
    CrossrefPubMedGoogle Scholar
  • 13 Koch A, Sanson E, Voigt S. et al. Serum adiponectin upon admission to the intensive care unit may predict mortality in critically ill patients. J Crit Care 2011; 26: 166-174
    CrossrefPubMedGoogle Scholar
  • 14 Latronico N, Rasulo FA. Presentation and management of ICU myopathy and neuropathy. Curr Opin Crit Care 2010; 16: 123-127
    CrossrefPubMedGoogle Scholar
  • 15 Latronico N, Bolton C. Critical illness polyneuropathy and myopathy: A major cause of muscle weakness and paralysis. Lancet Neurolology 2011; 10: 931-941
    Google Scholar
  • 16 Mehrholz J, Pohl M. Assessments bei einem auf ITS erworbenen Schwächesyndrom. Neuroreha 2013; 5: 26-31
    Article in Thieme ConnectGoogle Scholar
  • 17 Mehrholz J, Mückel S, Oehmichen F. et al. First results about recovery of walking function in patients with intensive-care-unit-acquired muscle weakness from the General Weakness Syndrome Therapy (GymNAST) cohort study. BMJ Open 2015; 5: e008828
    CrossrefPubMedGoogle Scholar
  • 18 Morris PE, Griffin L, Berry M. et al. Receiving early mobility during an intensive care unit admission is a predictor of improved outcomes in acute respiratory failure. Am J Med Sci 2011; 341: 373-377
    CrossrefPubMedGoogle Scholar
  • 19 Nordon-Craft A, Schenkman M, Ridgeway K. et al. Physical therapy management and patient outcomes following ICU-acquired weakness: A case series. J Neurol Phys Ther 2011; 35: 133-140
    CrossrefPubMedGoogle Scholar
  • 20 Nordon-Craft A, Moss M, Quan D. et al. Intensive care unit-acquired weakness: Implications for physical therapist management. Phys Ther 2012; 92: 1494-1506 doi:10.2522/ptj.20110117
    CrossrefPubMedGoogle Scholar
  • 21 Oehmichen F, Pohl M, Schlosser R. et al. Critical-illness-Polyneuropathie und -Polymyopathie. Wie sicher ist die klinische Diagnose bei Patienten mit Weaning-Versagen?. Nervenarzt 2012; 83: 220-225
    CrossrefPubMedGoogle Scholar
  • 22 Pohl M, Mehrholz K, Mehrholz J. Rehabilitation bei chronisch kritisch Kranken. Z Intensiv- und Notfallbehandlung 2012; 37: 127-132
    Google Scholar
  • 23 Pohl M, Mehrholz J. Begriffsbestimmung: Critical-Illness-Polyneuropathie und Critical-Illness-Myopathie. Neuroreha 2013; 5: 10-16
    Article in Thieme ConnectGoogle Scholar
  • 24 Pohl M, Mehrholz J. Auf einer Intensivstation erworbenes Schwächesyndrom: Langzeitkomplikationen. Neuroreha 2013; 5: 17-21
    Article in Thieme ConnectGoogle Scholar
  • 25 Pohlman MC, Schweickert WD, Pohlman AS. et al. Feasibility of physical and occupational therapy beginning from initiation of mechanical ventilation. Crit Care Med 2010; 38: 2089-2094
    CrossrefPubMedGoogle Scholar
  • 26 Prosiegel M, Weber S. Dysphagie: Diagnostik und Therapie. Ein Wegweiser für kompetentes Handeln. 2. Aufl.. Berlin: Springer; 2013
    Google Scholar
  • 27 Stevens R, Dowdy D, Michaels R. et al. Neuromuscular dysfunction acquired in critical illness: A systematic review. Intensive Care Medicine 2007; 33: 1876-1891
    CrossrefPubMedGoogle Scholar
  • 28 Stevens RD, Marshall SA, Cornblath DR. et al. A framework for diagnosing and classifying intensive care unit-acquired weakness. Crit Care Med 2009; 37: S299-308
    CrossrefPubMedGoogle Scholar
  • 29 Thomas S, Burridge JH, Pohl M. et al. Recovery of sit-to-stand function in patients with intensive-care-unit-acquired muscle weakness: Results from the General Weakness Syndrome Therapy cohort study. J Rehabil Med 2016; 48: 793-798 doi:10.2340/16501977–2135
    CrossrefPubMedGoogle Scholar
  • 30 Thomas S, Sauter W, Starrost U. et al. Time to decannulation and associated risk factors in the post-acute rehabilitation of critically ill patients with intensive care unit-acquired weakness: A cohort study. Eur J Phys Rehabil Med 2017; 53: 501-507
    PubMedGoogle Scholar
  • 31 Thomas S, Mehrholz J. Health related quality of life, participation and physical and cognitive function of patients with intensive-care-unit-acquired muscle weakness one-year after rehabilitation in Germany, the GymNAST cohort study. BMJ Open 2018; 8: e020163 doi:10.1136/bmjopen-2017–020163
    CrossrefPubMedGoogle Scholar
  • 32 Thomas S, Sauter W, Starrost U. et al. Regaining water swallowing function in the rehabilitation of critically ill patients with intensive-care-unit acquired muscle weakness. Disability and Rehabilitation 2018; 40: 1494-1500
    CrossrefPubMedGoogle Scholar
  • 33 Zanni JM, Korupolu R, Fan E. et al. Rehabilitation therapy and outcomes in acute respiratory failure: An observational pilot project. J Crit Care 2010; 25: 254-262
    CrossrefPubMedGoogle Scholar