Abstract
Patients hospitalized in an intensive care setting are considered critical patients. Thus, they are often dependent on resources for maintaining life that make it impossible for the individual to move, leading to muscle loss. This loss already occurs in the first days of hospitalization and takes a longer recovery time, even after hospital discharge. That is why it is relevant to study methods of monitoring and diagnosing muscle weakness acquired in the Intensive Care Unit (ICU). The objective of this study is to perform a bibliometric study to verify the protocols and parameters used by portable ultrasonography (US) in the evaluation of loss of muscle mass in individuals admitted to the intensive care setting. A bibliometric study was carried out in which 22 articles formed the research portfolio. The results showed that most of the studies were intervention (with different protocols for applying the US). We also found that ultrasound has been compared to other diagnostic methods, obtaining the best correlation with biopsy. For the diagnosis, the musculature of the lower limbs is recommended, mainly the rectus femoris muscle, for being more likely to atrophy due to disuse. In addition to the US, other methods of monitoring muscle loss were used, such as dynamometry and the Medical Research Council (MRC) scale, but these are restricted to being applied only to awake patients who can understand instructions. As a conclusion, the use of ultrasound is identified as a safe method with good intraobserver and interobserver reliability and that there is a gap regarding the therapeutic intervention for the treatment of muscle weakness acquired in the ICU.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Hayes K et al (2018) Acute skeletal muscle wasting and relation to physical function in patients requiring extracorporeal membrane oxygenation (ECMO). J Critical Care 48:1–8
Kramer CL (2017) Intensive care unit—acquired weakness. Neurol Clin 35(4):723–736
Sachetti A et al (2017) Efeitos da Estimulação Elétrica Neuromuscular sobre a Mobilidade Diafragmática de Pacientes Críticos: ensaio clínicorandomizado. Conscientia e Saúde 16(2):224–233
Wischmeyer PE, San-Millan I (2015) Winning the war against ICU—Acquired weakness: new innovations in nutrition and exercise physiology. Crit Care 19(3):S6
Jung B et al (2015) Diaphragmatic dysfunction in patients with ICU acquired weakness and its impact on extubation failure. Int Care Med 42:853–861
Sarwal A et al (2015) Interobserver reliability of quantitative muscle sonographic analysis in the critically Ill population. J Ultrasound Med 34:1191–1200
Sharshar T et al (2009) Presence and severity of intensive care unit—Acquired paresis at time of awakening are associated with increased intensive care unit and hospital mortality. Crit Care Med 37(12):3047–3053
Demling RH (2009) Nutrition, anabolism, and the wound healing process: an overview. Eplasty 9
Gil AC (2017) Como Elaborar Projetos de Pesquisa, 6th edn. Atlas, São Paulo
Marconi MA, Lakatos EM (2019) Fundamentos de metodologia científica, 8th edn. Atlas, São Paulo
Wolfram D. (2017) A Pesquisa Bibliométrica na Era do Big Data: desafios e oportunidades. Bibliometria e Cientometria no Brasil: infraestrutura para avaliação da pesquisa científica na Era do Big Data, p. 91–101
Costas R (2017) Discussões Gerais Sobre as Características Mais Relevantes de Infraestruturas de Pesquisa Para a Cientometria. Bibliometria e Cientometria no Brasil: infraestrutura para avaliação da pesquisa científica na Era do. Big Data 19–42
Oliveira TM, de Amaral L (2017) Políticas Públicas em Ciência e Tecnologia no Brasil: desafios e propostas para utilização de indicadores na avaliação. Bibliometria e Cientometria no Brasil: infraestrutura para avaliação da pesquisa científica na Era do. Big Data 157–184
Connolly B et al (2018) Non volitional assessment of tibialis anterior force and architecture during critical illness. Muscle Nerve 57(6):964–972
Joskova V et al (2018) Critical evaluation of muscle mass loss as a prognostic marker of morbidity in critically ill patients and methods for its determination. J Rehabil Med 50(8):696–704
Kelmenson DA, Quan D, Moss M (2018) What is the diagnostic accuracy of single nerve conduction studies and muscle ultrasound to identify critical illness polyneuromyopathy: a prospective cohort study. Crit Care 22(342):1–9
Formenti P et al (2019) Clinical review: peripheral muscular ultrasound in the ICU. Anesthesia Int Care 9:57
Hernández-Socorro CR et al (2018) Assessment of muscle wasting in long-stay ICU patients using a new ultrasound protocol. Nutrients 10(12):1–11
Looijaard WGPM, Molinger J, Weijs PJM (2018) Measuring and monitoring lean body mass in critical illness. Curr Opin Crit Care 24(4):241–247
Katari Y et al (2018) Point-of-care ultrasound to evaluate thickness of rectus femoris, vastus intermedius muscle, and fat as an indicator of muscle and fat wasting in critically ill patients in a multidisciplinary intensive care unit. Ind J Crit Care Med 33(1):28–33
Patejdl R et al (2019) Muscular ultrasound, syndecan-1 and procalcitonin serum levels to assess intensive care unit—acquired weakness. Can J Neurol Sciences Inc 46(2):234–242
Trung TN et al (2019) Transactions of the royal society of tropical medicine and hygiene. Trans R Soc Trop Med Hygiene 113(11):706–713
Hanada M et al (2019) Effects of quadriceps muscle neuromuscular electrical stimulation in living donor liver transplant recipients: phase-II single-blinded randomized controlled trial. Clin Rehabil 33(5):875–884
Hadda V et al (2018) Trends of loss of peripheral muscle thickness on ultrasonography and its relationship without comes among patients with sepsis. J Int Care 6(1):1–10
Perkisas S et al. (2018) Application of ultrasound for muscle assessment in sarcopenia: towards standardized measurements. Eur Geriatric Med 9(6):739–757
Xie Y et al (2020) Utility of plasma GDF-15 for diagnosis and prognosis assessment of ICU-acquired weakness in mechanically ventilated patients: prospective observational study. Bio Med R Int 1-9
Berry MJ et al (2019) Echogenicity is related to skeletal muscle strength in patients with acute respiratory failure. J Cardiop Rehabil Prev 39(3):E17–E20
Palakshappa JA et al (2018) Quantitative peripheral muscle ultrasound in sepsis: muscle area superior to thickness. J Crit Care 47(1):324–330
González JCM, Griffith MSB, Garcia LO (2019) Papel del músculo em el paciente crítico. Nut Hosp 36(2):12–17
Intiso D (2018) ICU-acquired Weakness: should medical sovereignty belong to any specialist? Crit Care 22(1):1–5
Fuest K, Schaller SJ (2018) Recent evidence on early mobilization in critical-Ill Patients. C Op Anaesthesia 31(2):144–150
Borges RC, Soriano FG (2020) Muscle degradation, Vitamin D and systemic inflammation in hospitalized septic patients. J Crit Care 56:125–131
Borges RC, Soriano FG (2019) Muscle degradation, Vitamin D and systemic inflammation in hospitalized septic patients. Shock 51(3):312–320
Mundi MS, Patel JJ, Martindale R (2019) Body composition technology: implications for the ICU. Nutr Cl Pract 34(1):48–58
Acknowledgements
This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brasil (CAPES) - Finance Code 001.
Conflict of Interest
The authors declare that there are no conflicts of interest.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 Springer Nature Switzerland AG
About this paper
Cite this paper
Dias, T.Z.G., Stadnik, A.M.W., Barros, F.S., Ulbricht, L. (2022). Muscle Evaluation by Ultrasonography in the Diagnosis of Muscular Weakness Acquired in the Intensive Care Unit. In: Bastos-Filho, T.F., de Oliveira Caldeira, E.M., Frizera-Neto, A. (eds) XXVII Brazilian Congress on Biomedical Engineering. CBEB 2020. IFMBE Proceedings, vol 83. Springer, Cham. https://doi.org/10.1007/978-3-030-70601-2_348
Download citation
DOI: https://doi.org/10.1007/978-3-030-70601-2_348
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-70600-5
Online ISBN: 978-3-030-70601-2
eBook Packages: EngineeringEngineering (R0)