Research Progress of Musculoskeletal Ultrasound in Diagnosis of Intensive Care Unit-Acquired Weakness[J]. Journal of Clinical Ultrasound in Medicine, 2022,24(8).
Research Progress of Musculoskeletal Ultrasound in Diagnosis of Intensive Care Unit-Acquired Weakness[J]. Journal of Clinical Ultrasound in Medicine, 2022,24(8).DOI:
Intensive care unit acquired weakness (ICU-AW) is a common complication in patients admitted to the intensive care unit(ICU). Traditionally
ICU-AW is diagnosed by assessment of manual muscle strength
using the Medical Research Council (MRC) score
but it is difficult to perform in the ICU setting. Recent studies demonstrated that musculoskeletal ultrasound can detect the decrease in muscle volume and structural changes in critical patients at an early stage
which has a certain correlation with muscle function.This paper describs the current research progress of using musculoskeletal ultrasound to detect upper extremity muscles
diaphragm and lower extremity muscles to diagnose ICU-AW. We found that due to the small samples and few repeated experiments
the results of each experiment are often contradictory and a more accurate conclusion could not be obtained.Only changes in rectus femoris cross-sectional area (CSA) and echointensity have a moderate correlation with MRC score
which was statistically significant.In the future
more large-sample
repeatable experiments are needed to further investigate this question.
关键词
重症医学肌骨超声ICU获得性肌无力
Keywords
Critical illnessMusculoskeletal ultrasoundIntensive care unit acquired weakness