From: Muscle ultrasound for early assessment of critical illness neuromyopathy in severe sepsis
Visits | Day 4 | Day 14 | ||
---|---|---|---|---|
Number of patients | 28 | 22 | ||
Mechanical ventilation | 20 (71.4%) | 10 (45.5%) | ||
Mean cumulative fluid balance | In: 21,935 ml | In: 66,028 ml | ||
Out: –16,533 ml | Out: –64,969 ml | |||
Net: 5,402 ml | Net: 1,059 ml | |||
Rankin score | Rankin score | Number | Rankin score | Number |
2 | 0 (0%) | 2 | 1 (4.6%) | |
3 | 3 (10.7%) | 3 | 2 (9.1%) | |
4 | 2 (7.1%) | 4 | 4 (18.2%) | |
5 | 23 (82.1%) | 5 | 12 (68.2%) | |
Muscle strength proximal arm | MRC score | Number | MRC score | Number |
0 to 1 | 18 (64.3%) | 0 to 1 | 9 (40.9%) | |
2 | 4 (14.3%) | 2 | 2 (9.1%) | |
3 | 3 (10.7%) | 3 | 6 (27.3%) | |
4 | 3 (10.7%) | 4 | 4 (18.2%) | |
5 | 0 (0%) | 5 | 1 (4.5%) | |
Muscle strength distal arm | MRC score | Number | MRC score | Number |
0 to 1 | 20 (71.4%) | 0 to 1 | 9 (40.9%) | |
2 | 1 (3.6%) | 2 | 2 (9.1%) | |
3 | 1 (3.6%) | 3 | 5 (22.7%) | |
4 | 4 (14.3%) | 4 | 5 (22.7%) | |
5 | 2 (7.1%) | 5 | 1 (4.5%) | |
Muscle strength proximal leg | MRC score | Number | MRC score | Number |
0 to 1 | 19 (67.9%) | 0 to 1 | 8 (36.4%) | |
2 | 4 (14.3%) | 2 | 5 (22.7%) | |
3 | 2 (7.1%) | 3 | 4 (18.2%) | |
4 | 3 (10.7%) | 4 | 4 (18.2%) | |
5 | 0 (0%) | 5 | 0 (0%) | |
Muscle strength distal leg | MRC score | Number | MRC score | Number |
0 to 1 | 19 (67.9%) | 0 to 1 | 10 (45.5%) | |
2 | 2 (7.1%) | 2 | 2 (9.1%) | |
3 | 2 (7.1%) | 3 | 2 (9.1%) | |
4 | 5 (17.9%) | 4 | 6 (27.3%) | |
5 | 0 (0%) | 5 | 2 (9.1%) | |
Biceps reflex | Number | Number | ||
Absent | 15 (53.6%) | Absent | 13 (59.1%) | |
After reinforcement | 3 (10.7%) | After reinforcement | 3 (13.6%) | |
Attenuated | 10 (35.7%) | Attenuated | 5 (22.7%) | |
Normal | 0 (0%) | Normal | 1 (4.5%) | |
Patellar reflex | Number | Number | ||
Absent | 18 (64.3%) | Absent | 9 (40.9%) | |
After reinforcement | 4 (14.3%) | After reinforcement | 2 (9.1%) | |
Attenuated | 6 (21.4%) | Attenuated | 10 (45.5%) | |
Normal | 0 (0%) | Normal | 1 (4.5%) | |
Ankle jerk reflex | Number | Number | ||
Absent | 26 (92.9%) | Absent | 18 (81.8%) | |
After reinforcement | 1 (3.6%) | After reinforcement | 1 (4.5%) | |
Attenuated | 1 (3.6%) | Attenuated | 2 (9.1%) | |
Normal | 0 (0%) | Normal | 1 (4.5%) | |
Patients with drugs | Sufentanyl | 15 (53.6%) | Sufentanyl | 8 (36.4%) |
Midazolam | 6 (21.4%) | Midazolam | 4 (0.2%) | |
Propofol | 6 (21.4%) | Propofol | 0 (0%) | |
Clonidine | 6 (21.4%) | Clonidine | 1 (0.05%) | |
Vasopressors | 20 (71.4%) | Vasopressors | 8 (36.4%) |