Strategies to optimize respiratory muscle function in ICU patients

Willem-Jan M Schellekens, Hieronymus W H van Hees, Jonne Doorduin, Lisanne H Roesthuis, Gert Jan Scheffer, Johannes G van der Hoeven, Leo M A Heunks

Research output: Contribution to journalReview articlepeer-review

Abstract

Respiratory muscle dysfunction may develop rapidly in critically ill ventilated patients and is associated with increased morbidity, length of intensive care unit stay, costs, and mortality. This review briefly discusses the pathophysiology of respiratory muscle dysfunction in intensive care unit patients and then focuses on strategies that prevent the development of muscle weakness or, if weakness has developed, how respiratory muscle function may be improved. We propose a simple strategy for how these can be implemented in clinical care.

Original languageEnglish
Pages (from-to)103
JournalCritical care (London, England)
Volume20
Issue number1
DOIs
Publication statusPublished - 19 Apr 2016
Externally publishedYes

Keywords

  • Critical Illness/nursing
  • Evidence-Based Medicine/methods
  • Humans
  • Intensive Care Units
  • Muscle Weakness/complications
  • Respiration, Artificial/adverse effects
  • Respiratory Muscles/physiopathology
  • Risk Factors
  • Time Factors
  • Treatment Outcome

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