SUMMARY
Background. Muscle mass can be an important predictor for survival in critical illness, and there is no universally acknowledged approach for routinely assessing low muscularity at ICU admission. We aimed to identify patients with low muscularity and investigate whether ultrasound muscle mass measurements changed during the ICU stay.
Materials and methods. We performed a retrospective analysis of the ultrasound data of patients admitted with septic shock and sepsis in the ICU. We included patients who underwent ultrasound measurements of the quadriceps femoris muscle thickness including the rectus femoris and vastus intermedius. Weight and ultrasound measurements were performed on days 1, 3, 5, and 7 of the ICU stay.
Results. The study group comprised 61% (n = 14) males and 39% (n = 9) females with a mean age group of 63.74 ± 10.97 years. The mean APACHE score was 16.0 ± 2.38.
The mean admission weight was 62.2 ± 16.6 and the recorded weight on day 7 was 59.4 ± 15.7 wherein the reduction in weight was statistically significant (p < 0.01). Muscle mass thickness measurements of rectus femoris reduced from 1.44 ± 0.34 cm on day 1 to 1.22 ± 0.33 cm on day 7 which was statistically significant (p = 0.002). Similarly, muscle mass measurements of the vastus intermedius reduced significantly from 1.23 ± 0.48 cm on day 1 to 0.97 ± 0.36 cm on day 7 with p = 0.035.
Conclusions. Ultrasound measurements of the quadriceps muscle layer thickness can be used to detect low and reduced muscularity. Strategies involving both adequacies of nutrition and timely rehabilitation and mobility can prove beneficial in lowering muscle loss in hospitalized critically ill patients.
Muscle Mass Loss in Mechanically Ventilated Critically Ill Patients in Intensive Care Unit
Sanjith Saseedharan, Radha Reddy Chada, Sonal Rambhad, Ashok Bhurke, Elizabeth Mathew, Kanchan Paradkar
Original Article, 290-296
Keywords: Critically ill, mechanical ventilation, muscle mass, quadriceps, ultrasound,
Table of Content: Vol. 13 (No.2) 2023 April/June
-
Low Back Pain in Weightlifters: Personalised Exercise Protocols for Elite Athletes
Francesco Oliva, Maria Nicolina Agnes, Michele Castellano Vitaterna, Nicola MaffulliOriginal Article, 187-200 -
Morphological Changes and Pathological Findings in the Achilles Tendons of Diabetic Patients: A Meta-Analysis of Comparative Clinical Studies
Kaissar Yammine, Elio Daccache, Chahine AssiReview, 201-210 -
Calcium is Involved in Necroptosis Through the Expression of Phospho-MLKL in Skeletal Muscle Cell in Mice
Ryu Yashiro, Yasunari MatsuzakaOriginal Article, 211-217 -
A Critical Review on Tendon Structure and Load Remodeling
Yeliz KahramanReview, 218-227 -
Anatomical Variation of the Sciatic Nerve in Relation to the Piriformis Muscle: An MRI Study
Mona I. Almuhaish, Iba I. AlFawaz, Tarek M. Hegazi, Sulaiman A. Al-Mousa, Shayma S. Alsubaie, Abdulaziz A. Alkhaldi, Majed M. AlMutairi, Talal H. Alshammari, Hussain F. Alhowaish, Mohammad M. AlzahraniOriginal Article, 228-233 -
Knee Spacers in Periprosthetic Joint Infections: A Narrative Review
Francesco Oliva, Salvatore Ziello, Nicola MaffulliReview, 234-242 -
Transfer of the Flexor Hallucis Longus Tendon for Neglected and Degenerative Tendo Achillis Rupture: A Prospective Clinical Study
Sheshagiri Venkateshaiah, Aditya G. R. Reddy, Vidya C. SrikantaiahOriginal Article, 243-251 -
Peroneus Longus Tendon Autograft for Primary Arthroscopic Reconstruction of the Anterior Cruciate Ligament
Shashwat Agrawal, Atmananda S. Hegde, B. Seetharama Rao, Prajwal P. Mane, Chethan B. Shetty, Vikrant Khanna, Samarth Thakkar, Prajwal M. Divakar, Ankita NigamOriginal Article, 252-258 -
Arthroscopic Biceps Tenodesis: Midterm Clinical Results of a New Anchor Suture Technique in Patients with Single-Row Rotator Cuff Repair
Hossein Saremi, Bijan Heidari, Ali Sharifi, Elham KhanlarzadehOriginal Article, 259-266 -
Iliotibial Band Trigger Points and Plantar Heel Pain: A Cross-Sectional Study
Sarika Subhash Wani, Deepak Kumar Pradhan, Pankaj Verma, Kadari SateeshOriginal Article, 267-272 -
Work-Related Risk Factors for Musculoskeletal Disorder among Nurses in Indian Hospitals
Mohd Mukhtar Alam, Abdulelah M. Ali, Mohammad Rafey, Mohd Sufyaan, Israr Ahmad, Saima ZarrinOriginal Article, 273-282 -
Night Splints in Plantar Fasciitis: A Systematic Review
Anna Julia Pereira Bendo, Marcia Izabeli Guimarães Barros, Gladson Ricardo Flor Bertolini, Alberito Rodrigo de Carvalho, Cristiane Buzanello Donin, Márcia Rosângela Buzanello AzevedoReview, 283-289 -
Muscle Mass Loss in Mechanically Ventilated Critically Ill Patients in Intensive Care Unit
Sanjith Saseedharan, Radha Reddy Chada, Sonal Rambhad, Ashok Bhurke, Elizabeth Mathew, Kanchan ParadkarOriginal Article, 290-296 -
Figure of Eight FiberTape Stabilization for Acute Posterior Sternoclavicular Joint Dislocation
Paweł Norwa, Dawid Lewandowski, Konrad Borcz, Piotr Piekarczyk, Patryk Wrzosek, Krzysztof Kwiatkowski, Piotr CieślikOriginal Article, 297-302 -
Neck Muscles Sense of Force in Healthy Individuals and Subjects with Trigger Points of the Upper Trapezius Muscle
Mina Saeedzadeh, Danial Sajjadi Khoshkrodi, Khosro Khademi-Kalantari, Alireza Akbarzadeh Baghban, Minoo Khalkhali ZaviehOriginal Article, 303-310 -
Influence of Shoulder External Rotation Component on Median Nerve Neurodynamics in Neurogenic Cervicobrachial Pain Syndrome: A Cross-Sectional Study
Prabal Kumar, Anupama Prabhu, Ranganath GangavelliOriginal Article, 311-319 -
The Effect of Contraction Type and Training Volume in Unilateral Exercises on Cross-Education: A Narrative Review Study
Marzieh Mortezanejad, Mohammad Mohsen Roostayi, Aliyeh Daryabor, Parsa SalemiReview, 320-334 -
Reliability of Nonlinear Kinematic Analysis in Patients with Functional Ankle Instability During Dual-Task Walking
Tina Banakheiri, Sedigheh Sadat Naimi, Zahra Ebrahimabadi, Mohammad Yousefi, Aliyeh DaryaborOriginal Article, 335-343 -
Shoulder Function in Swimmers with and without Scapular Dyskinesia
Homa Naderifar, Shima Babakhanian, Roya Najafi-Vosough, Mohammad Karimizadeh ArdakaniOriginal Article, 344-352