Ultrasonography in the intensive care setting can be used to detect changes in the quality and quantity of muscle and is related to muscle strength and function.

作者: Selina M Parry , Doa El-Ansary , Michael S Cartwright , Aarti Sarwal , Sue Berney

DOI: 10.1016/J.JCRC.2015.05.024

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摘要: Abstract Purpose This study aimed to (1) document patterns of quadriceps muscle wasting in the first 10 days admission and (2) determine relationship between ultrasonography volitional measures. Materials methods Twenty-two adults ventilated for more than 48 hours were included. Sequential ultrasound images obtained over at awakening intensive care unit (ICU) discharge. Muscle strength function assessed ICU Results A total 416 analyzed. There was a 30% reduction vastus intermedius (VI) thickness, rectus femoris (RF) cross-sectional area within admission. echogenicity scores increased both RF VI muscles by +12.7% +25.5%, respectively (suggesting deterioration quality). strong association thickness ( r = 0.82) −0.77). moderate 0.71). Conclusions occurs rapidly setting. Ultrasonography is useful surrogate measure identifying future impairment. Vastus may be an important monitor because it demonstrated greatest change quality had strongest

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