Management of Polyneuromyopathy in a Critically Ill Patient with a Left Ventricular Assist Device

Author:

Savevska Cvetanka Gjerakaroska1,Radovikj Marija Gjerakaroska2,Gechevska Daniela1,Koevska Valentina1,Mitrevska Biljana1,Gocevska Marija1,Matjanoska Lidija Stojanoska1,Ivanovsk Biljana Kalcovska1,Manoleva Maja1

Affiliation:

1. University Clinic for physical medicine and rehabilitation , Faculty of Medicine, Ss. Cyril and Methodius University , Skopje , RN Macedonia

2. University Clinic for State Cardiac Surgery, Faculty of Medicine , Ss. Cyril and Methodius University , Skopje , RN Macedonia

Abstract

Abstract Critical illness polyneuromyopathy after cardiac surgery is often unrecognized and is a rarely reported clinical condition. It is characterized by more proximal than distal symmetrical flaccid muscle weakness and difficulty in weaning from a respirator. When done in a timely manner, rehabilitation prevents early complications and reduces the length of hospitalization. Rehabilitation leads to better motor outcome, improves short-term and long-term functionality, and results in a better quality of life.

Publisher

Walter de Gruyter GmbH

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