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Critical illness myopathy (CIM) or critical illness polyneuropathy (CIP): bad sign!
German anesthesiologists and neurologists analysed whether there is an association between the early differentiation ofcritical illness myopathy (CIM) versus critical illness polyneuropathy (CIP) and clinical prognosis. 

They studied 53 critically ill patients and these were examined by conventional nerve-conduction studies and direct muscle stimulation (184 examinations in total).

Within the first week after admission to the ICU of critically ill patients, CIM was more frequent (68%) than CIP (38%).

Most patients with CIP had concomitant CIM.

At discharge from ICU, 25% of patients with isolated CIM showed electrophysiological signs of recovery.

Recovery could not be observed in patients with combined CIM/CIP. [1]

Jan M. Keppel Hesselink, MD, PhD, September 2010 


Referenties

[1]: Koch S, Spuler S, Deja M, Bierbrauer J, Dimroth A, Behse F, Spies CD, Wernecke KD, Weber-Carstens S. | Critical illness myopathy is frequent: accompanying neuropathy protracts ICU discharge. | J Neurol Neurosurg Psychiatry. | 2011 Mar;82(3):287-93. Epub 2010 Aug 27.
 
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