Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-26T21:16:12.812Z Has data issue: false hasContentIssue false
  • English
  • Français

Direct stimulation: a useful technique

Published online by Cambridge University Press:  01 February 2008

E. Seghelini
E. Seghelini*
Affiliation:
Università degli Studi di Brescia, Istituto di Anestesia e Rianimazione, Spedali Civili, Italia
*
Correspondence to: Elisa Seghelini, Istituto di Anestesia e Rianimazione, Università degli Studi di Brescia, Spedali Civili, Piazzale Spedali Civili, 1 – 25125 Brescia, Italy. E-mail: [email protected]; Tel: +39 0303995764; Fax: +39 0303995570
Get access

Summary

Direct muscular stimulation is quick, simple, non-invasive and can be carried out at the patient’s bedside. More importantly, it is reliable even when the patients cannot cooperate or are comatose. From the small amount of data available, it seems to be as accurate as neuromuscular biopsy in diagnosing critical illness myopathy. It would therefore be advisable to use it in everyday clinical practice.

Keywords

MEASUREMENT AND MONITORINGCRITICAL CAREPOLYNEUROPATHYMUSCULAR DISEASESNEUROMUSCULAR DISEASESMUSCLE STIMULATION
Type
Original Article
Information
European Journal of Anaesthesiology , Volume 25 , Issue S42 , February 2008 , pp. 181 - 185
Copyright
Copyright © European Society of Anaesthesiology 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Op de Coul, AA, Lambregts, PC, Koeman, J, van Puyenbroek, MJ, Ter Laak, HJ, Gabreels-Festen, AA. Neuromuscular complications in patients given Pavulon (pancuronium bromide) during artificial ventilation. Clin Neurol Neurosurg 1985; 87: 17–22.Google Scholar
2.Danon, MJ, Carpenter, S. Myopathy with thick filament (myosin) loss following prolonged paralysis with vecuronium during steroid treatment. Muscle Nerve 1991; 14: 1131–1139.CrossRefGoogle ScholarPubMed
3.Hirano, M, Ott, BR, Raps, EC et al. . Acute quadriplegic myopathy: a complication of treatment with steroids, nondepolarizing blocking agents, or both. Neurology 1992; 42: 2082–2087.CrossRefGoogle ScholarPubMed
4.Lacomis, D, Giuliani, MJ, Van Cott, A, Kramer, DJ. Acute myopathy of intensive care: clinical, electromyographic and pathological aspects. Ann Neurol 1996; 40: 645–654.Google Scholar
5.Ramsay, DA, Zochodne, DW, Robertson, DM, Nag, S, Ludwin, SK. A syndrome of acute severe muscle necrosis in intensive care unit patients. J Neuropathol Exp Neurol 1993; 52: 387–398.CrossRefGoogle ScholarPubMed
6.Zochodne, DW, Ramsay, DA, Saly, D, Saly, V, Shelly, S, Moffatt, S. Acute necrotizing myopathy of intensive care: electrophysiological studies. Muscle nerve 1994; 17: 285–292.CrossRefGoogle ScholarPubMed
7.Lacomis, D, Putrella, JT, Giuliani, MJ. Causes of neuromuscular weakness in the intensive care unit: a study of ninety-two patients. Muscle Nerve 1998; 21: 610–617.3.0.CO;2-B>CrossRefGoogle ScholarPubMed
8.Bolton, CF, Gilbert, JJ, Hahn, AF, Sibbald, WJ. Polyneuropathy in critically ill patients. J Neurosurg Psychiatry 1984; 47: 1223–1231.CrossRefGoogle ScholarPubMed
9.Witt, NJ, Zochodne, DW, Bolton, CF et al. . Peripheral nerve function in sepsis and multiple organ failure. Chest 1991; 99: 176–184.CrossRefGoogle ScholarPubMed
10.Latronico, N, Fenzi, F, Recupero, D et al. . Critical illness myopathy and neuropathy. Lancet 1996; 347: 1579–1582.Google Scholar
11.Zifko, UA, Zipko, HT, Bolton, CF. Clinical and electrophysiological findings in critical illness polyneuropathy. J Neurol Sci 1998; 159: 186–193.CrossRefGoogle ScholarPubMed
12.Breuer, AC. An outdated concept. Muscle Nerve 1999; 22: 422–424.3.0.CO;2-Z>CrossRefGoogle Scholar
13.Berek, K, Margreiter, J, Williet, J, Berek, A, Schmutzhard, E, Mutz, NJ. Polyneuropathies in the critically ill patients: a prospective evaluation. Intensive Care Med 1996; 22: 849–855.Google Scholar
14.Lacomis, D, Zochodne, DW, Bird, SJ. Critical illness myopathy (Editorial). Muscle Nerve 2000; 23: 1785–1788.3.0.CO;2-J>CrossRefGoogle Scholar
15.Coakley, JH, Nagendran, K, Yarwood, GD, Honavar, M, Hinds, CJ. Patterns of neurophysiological abnormality in prolonged critical illness. Intensive Care Med 1998; 24: 801–807.Google Scholar
16.Leijten, FS, Harinck-de Weerd, JE, Poortvliet, DC, de Weerd, AW. The role of polyneuropathy in motor convalescence after prolonged mechanical ventilation. JAMA 1995; 274: 1221–1225.CrossRefGoogle ScholarPubMed
17.Zifko, UA. Long-term outcome of critical illness polyneuropathy. Muscle Nerve Suppl 2000; 9: S49–S52.Google Scholar
18.Fletcher, SN, Kennedy, DD, Ghosh, IR et al. . Persistent neuromuscular and neurophysiologic abnormalities in long-term survivors of prolonged critical illness. Crit Care Med 2003; 31: 1012–1016.CrossRefGoogle ScholarPubMed
19.Latronico, N, Shehu, I, Seghelini, E. Neuromuscular sequelae of critical illness. Curr Opin Crit Care 2005; 11: 381–390.Google Scholar
20.Coakley, JH, Nagendran, K, Yarwood, GD, Honavar, M, Hinds, CJ. Patterns of neurophysiological abnormality in prolonged critical illness. Intensive Care Med 1998; 24: 801–807.Google Scholar
21.Gutmann, L, Gutmann, L. Critical illness neuropathy and myopathy. Arch Neurol 1999; 56: 527–528.Google Scholar
22.Rich, MM, Teener, JW, Raps, EC, Schotland, DL, Bird, SJ. Muscle is electrically inexcitable in acute quadriplegic myopathy. Neurology 1996; 46: 731–736.Google Scholar
23.Rich, MM, Bird, SJ, Raps, EC, McCluskey, LF, Teener, JW. Direct muscle stimulation in acute quadriplegic myopathy. Muscle Nerve 1997; 20: 665–673.3.0.CO;2-6>CrossRefGoogle ScholarPubMed
24.Trojaborg, W, Weimer, LH, Hays, AP. Electrophysiological studies in critical illness associated weakness: myopathy or neuropathy – a reappraisal. Clin Neurophysiol 2001; 112: 1586–1593.Google Scholar
25.Bednarik, J, Lukas, Z, Vondracek, P. Critical illness polyneuromyopathy: the electrophysiological components of a complex entity. Intensive Care Med 2003; 29: 1505–1514.Google Scholar
26.Coakley, JH, Nagendran, K, Yarwood, GD, Honavar, M, Hinds, CJ. Patterns of neurophysiological abnormality in prolonged critical illness. Intensive Care Med 1998; 24: 801–807.CrossRefGoogle ScholarPubMed
27.Rich, MM, Pinter, MJ. Sodium channel inactivation in an animal model of acute quadriplegic myopathy. Ann Neurol 2001; 50: 26–33.CrossRefGoogle Scholar
28.Rich, MM, Pinter, MJ. Crucial role of sodium channel fast inactivation in muscle fibre inexcitability in a rat model ok critical illness myopathy. J Physiol 2003; 547: 555–566.CrossRefGoogle Scholar
29.Lefaucher, JP, Nordine, T, Rodriguez, P, Brochard, L. Origin of ICU acquired paresis determined by direct muscle stimulation. J Neurol Neurosurg Psychiatry 2005; 77: 500–506.Google Scholar
30.Buchtal, F, Kamieniecka, Z. The diagnostic yield of quantified electromyography and quantified muscle biopsy in neuromuscular disorders. Muscle Nerve 1982: 265–280.CrossRefGoogle Scholar
31.Trojaborg, W. Quantitative electromyography in polymyositis: a reappraisal. Muscle Nerve 1990; 13: 946–971.Google Scholar
32.McComas, AJ, Fawcett, PR, Campbell, MJ, Sica, RE. Electrophysiological estimation of the number of motor units within a human muscle. J Neurol Neurosurg Psychiatry 1971; 34: 121–131.Google Scholar
33.Daube, JR. Estimating the number of motor units in a muscle. J Clin Neurophysiol 1995; 12: 585–594.CrossRefGoogle ScholarPubMed