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Exercise and nutrition in critically ill patients-What is the correct formula?

Published:January 24, 2023DOI:https://doi.org/10.1016/j.hrtlng.2022.12.015
      ICU-acquired weakness is diagnosed in approximately 1 million mechanically ventilated patients annually.
      • Fan E.
      • Cheek F.
      • Chlan L.
      • et al.
      An official American Thoracic society clinical practice guideline: the diagnosis of intensive care unit-acquired weakness in adults.
      This weakness is secondary to multiple mechanisms including myopathy, neuropathy, deconditioning and protein malnutrition. In addition, ICU-acquired weakness is associated with decreased quality of life and increased mortality.
      • Kress J.P.
      • Hall J.B.
      ICU-acquired weakness and recovery from critical illness.
      Physical rehabilitation and nutritional support have the potential to improve muscle strength and help maintain functional status.

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      References

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        • Cheek F.
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        • et al.
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        Combining exercise, protein supplementation and electric stimulation to mitigate muscle wasting and improve outcomes for survivors of critical illness-The ExPres study.
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        A multimodal rehabilitation program for patients with ICU acquired weakness improves ventilator weaning and discharge home.
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