TY - JOUR
T1 - Approach to critical illness myopathy and polyneuropathy in the older SARS-CoV-2 patients
AU - McClafferty, Brendan
AU - Umer, Ibrahim
AU - Fye, Gary
AU - Kepko, Douglas
AU - Kalayanamitra, Ricci
AU - Shahid, Zainab
AU - Ramgobin, Devyani
AU - Cai, Alice
AU - Groff, Andrew
AU - Bhandari, Abani
AU - Aggarwal, Chander Shekher
AU - Patel, Ravi
AU - Bhatt, Dhirisha
AU - Polimera, Hyma
AU - Sahu, Nitasa
AU - Vunnam, Ramarao
AU - Golamari, Reshma
AU - Kumar, Ashutosh
AU - Jain, Rohit
N1 - Publisher Copyright:
© 2020 Elsevier Ltd
PY - 2020/9
Y1 - 2020/9
N2 - One of the major concerns of the health care community and the public surrounding the SARS-CoV-2 pandemic is the availability and use of ventilators. Unprecedented surges of patients presented to intensive care units across the country, with older adults making up a large proportion of the patient population. This paper illustrates contemporary approaches to critical illness myopathy (CIM), critical illness polyneuropathy (CIP), and critical illness polyneuromyopathy (CIPNM) in older patients, including incidence, risk factors, mechanisms for pathology, diagnosis, contemporary treatment approaches, and outcomes. We hope that the following analysis may help educate clinicians and ultimately decrease the duration of the mechanical ventilation required by these patients, resulting in improved clinical outcomes and an increase in ventilator availability for other patients in need.
AB - One of the major concerns of the health care community and the public surrounding the SARS-CoV-2 pandemic is the availability and use of ventilators. Unprecedented surges of patients presented to intensive care units across the country, with older adults making up a large proportion of the patient population. This paper illustrates contemporary approaches to critical illness myopathy (CIM), critical illness polyneuropathy (CIP), and critical illness polyneuromyopathy (CIPNM) in older patients, including incidence, risk factors, mechanisms for pathology, diagnosis, contemporary treatment approaches, and outcomes. We hope that the following analysis may help educate clinicians and ultimately decrease the duration of the mechanical ventilation required by these patients, resulting in improved clinical outcomes and an increase in ventilator availability for other patients in need.
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U2 - 10.1016/j.jocn.2020.07.058
DO - 10.1016/j.jocn.2020.07.058
M3 - Review article
C2 - 33070904
AN - SCOPUS:85089436335
SN - 0967-5868
VL - 79
SP - 241
EP - 245
JO - Journal of Clinical Neuroscience
JF - Journal of Clinical Neuroscience
ER -