Table 1 Recovery from ICU via Surveillance, Exercise, and Nutrition (RISEN) protocol
From: Winning the war against ICU-acquired weakness: new innovations in nutrition and exercise physiology
Day 1 (ICU admission) |
|---|
Baseline nutritional and metabolic evaluation |
Nutrition risk score (NUTRIC score?) |
Metabolic evaluation with indirect calorimetry |
Baseline muscle evaluation |
Lean body mass ultrasound |
Muscle glycogen ultrasound |
Markers of muscle injury? |
CPK-MM (creatine phosphokinase-muscle component) |
Myoglobin |
LDH-(lactate dehydrogenase) |
Every 3-7 days post ICU admission |
Ongoing nutritional evaluation |
Indirect calorimetry to guide feeding and assess recovery and mitochondrial function along with lactate measurements. |
Muscle evaluation |
Lean body mass ultrasound |
Muscle glycogen ultrasound |
Markers of muscle injury? |
CPK-MM |
Myoglobin |
Physiologic exercise evaluation (when able) |
Diagnose exercise/mitochondrial function |
Individualized exercise prescription including resistance training to improve metabolic and musculoskeletal function. |