McKittrick, A and Kornhaber, RA and Visentin, DC and Cleary, M and Haik, J and Harats, M, Considerations for treatment, diagnosis and risk factors for critical care polyneuropathy, 41st Annual Scientific Meeting (ASM), of the Australian & New Zealand Burn Association (ANZBA), 24-27 October 2017, Adelaide (2017) [Conference Extract]
Background: Critical care polyneuropathy is a neuromuscular weakness that may be experienced in severe burn patients managed in intensive care with prolonged ventilation (Chan, Ng & Vandervord, 2010). Reducing long-term functional impairment requires early diagnosis. However, early diagnosis remains difficult with varying levels of sedation.
Aim: To identify the precipitating factors that contribute to the development of critical care polyneuropathy in severe burn injury.
Methods: An integrative review was undertaken, using a systematic approach. Research papers and case reports from the international literature were included in the review.
Results: The research studies identified an incidence of critical care polyneuropathy of 4.4% amongst a surveyed population comprising 2755 burns patients with a mean total burn surface area of 40%. While the risk factors have been poorly reported across the studies, the survey identified prolonged ventilation, failure to wean from a ventilator, larger and deeper burns and the occurrence of sepsis as causative factors.
Conclusion: Early identification of critical care polyneuropathy and subsequent intensive therapy is an important aspect in patientsí recovery that may strengthen activity and exercise tolerance. The long-term impact of critical care neuropathy therefore warrants further longitudinal investigation, and this review highlights the need for more systematic measurement and reporting of risk factors and assessment.
|Item Type:||Conference Extract|
|Keywords:||critical are neuropathy|
|Research Division:||Biomedical and Clinical Sciences|
|Research Field:||Peripheral nervous system|
|Objective Group:||Provision of health and support services|
|Objective Field:||Allied health therapies (excl. mental health services)|
|UTAS Author:||Kornhaber, RA (Dr Rachel Kornhaber)|
|UTAS Author:||Visentin, DC (Dr Denis Visentin)|
|UTAS Author:||Cleary, M (Professor Michelle Cleary)|
|Deposited By:||Health Sciences|
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