THE FEATURES OF CRITICAL CONDITION POLINEUROMYOPATHY TREATMENT
Aim. This paper presents the current state of the problem and the principles of critical condition мyopathy/polyneuropathy differential diagnosis. Critical condition myopathy/polyneuropathy is a syndrome characterized by neuromuscular disorders in intensive care unit patients presenting myopathy and/or sensory-motor neuropathy of progressive nature, following sepsis, multiple organ failure, acute distress syndrome or heart or urinary-genital system surgery. Material and methods. Analysis of the current and relevant publications, data and personal observations on this topic was performed. Results and discussion. Classification of neuro-muscular disorders in intensive care units includes critical condition polyneuropathy, prolonged neuromuscular block and critical condition myopathy. In terms of risk factor development in critical condition myopathy/polyneuropathy older age, female gender, hypoxia and hypotension, hyperthermia, hyperglycemia, hypoalbuminemia, treatment with corticosteroids or aminoglycosides should be considered. Critical condition myopathy/polyneuropathy affects every day household activity and reduces the quality of life. It determines the need for early rehabilitation. Conclusion. In order to maximize effectiveness of rehabilitative treatment it requires continuity in rehabilitation process organization. The patient needs to continue rehabilitation in outpatient clinic. In order to avoid polyneuromyopathy it is necessary to provide adequate treatment to prevent sepsis, systemic inflammation or multiple organ failure. Effective treatment for critical condition myopathy/polyneuropathy requires multidisciplinary approach.