Polineuropatía y miopatía en el paciente crítico. Revisión de la literatura
- Autores:
-
Enciso, César
Ojeda, Ernesto
Castro, Francy
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2013
- Institución:
- Fundación Universitaria de Ciencias de la Salud - FUCS
- Repositorio:
- Repositorio Digital Institucional ReDi
- Idioma:
- spa
- OAI Identifier:
- oai:repositorio.fucsalud.edu.co:001/2785
- Acceso en línea:
- https://repositorio.fucsalud.edu.co/handle/001/2785
https://doi.org/10.31260/RepertMedCir.v22.n3.2013.762
- Palabra clave:
- polineuropatía
miopatía
electromiografía
neuroconducción
polyneuropathy
myopathy
electromyography
neuroconduction
- Rights
- openAccess
- License
- Fundación Universitaria de Ciencias de la Salud FUCS - 0
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dc.title.spa.fl_str_mv |
Polineuropatía y miopatía en el paciente crítico. Revisión de la literatura |
dc.title.translated.eng.fl_str_mv |
Polyneuropathy and myopathy in the critical patient. Review of the literature |
title |
Polineuropatía y miopatía en el paciente crítico. Revisión de la literatura |
spellingShingle |
Polineuropatía y miopatía en el paciente crítico. Revisión de la literatura polineuropatía miopatía electromiografía neuroconducción polyneuropathy myopathy electromyography neuroconduction |
title_short |
Polineuropatía y miopatía en el paciente crítico. Revisión de la literatura |
title_full |
Polineuropatía y miopatía en el paciente crítico. Revisión de la literatura |
title_fullStr |
Polineuropatía y miopatía en el paciente crítico. Revisión de la literatura |
title_full_unstemmed |
Polineuropatía y miopatía en el paciente crítico. Revisión de la literatura |
title_sort |
Polineuropatía y miopatía en el paciente crítico. Revisión de la literatura |
dc.creator.fl_str_mv |
Enciso, César Ojeda, Ernesto Castro, Francy |
dc.contributor.author.spa.fl_str_mv |
Enciso, César Ojeda, Ernesto Castro, Francy |
dc.subject.spa.fl_str_mv |
polineuropatía miopatía electromiografía neuroconducción |
topic |
polineuropatía miopatía electromiografía neuroconducción polyneuropathy myopathy electromyography neuroconduction |
dc.subject.eng.fl_str_mv |
polyneuropathy myopathy electromyography neuroconduction |
publishDate |
2013 |
dc.date.accessioned.none.fl_str_mv |
2013-09-01 00:00:00 2022-06-29T19:36:28Z |
dc.date.issued.none.fl_str_mv |
2013-09-01 |
dc.date.available.none.fl_str_mv |
2013-09-01 00:00:00 2022-06-29T19:36:28Z |
dc.type.spa.fl_str_mv |
Artículo de revista |
dc.type.eng.fl_str_mv |
Journal article |
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http://purl.org/coar/resource_type/c_2df8fbb1 |
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10.31260/RepertMedCir.v22.n3.2013.762 |
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0121-7372 |
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https://repositorio.fucsalud.edu.co/handle/001/2785 |
dc.identifier.eissn.none.fl_str_mv |
2462-991X |
dc.identifier.url.none.fl_str_mv |
https://doi.org/10.31260/RepertMedCir.v22.n3.2013.762 |
identifier_str_mv |
10.31260/RepertMedCir.v22.n3.2013.762 0121-7372 2462-991X |
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https://repositorio.fucsalud.edu.co/handle/001/2785 https://doi.org/10.31260/RepertMedCir.v22.n3.2013.762 |
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dc.relation.references.spa.fl_str_mv |
Johnson KL. Neuromuscular complications in the intensive care unit: critical illness polyneuromyopathy. AACN Adv Crit Care. 2007;18(2):167-80; quiz 81-2. Lacomis D, Zochodne DW, Bird SJ. Critical illness myopathy. Muscle Nerve. 2000;23(12):1785-8. Leijten FS, de Weerd AW. Critical illness polyneuropathy. A review of the literature, definition and pathophysiology. Clin Neurol Neurosurg. 1994;96(1):10-9. Berek K, Margreiter J, Willeit J, Berek A, Schmutzhard E, Mutz NJ. Polyneuropathies in critically ill patients: a prospective evaluation. Intensive Care Med. 1996;22(9):849-55. MacFarlane IA, Rosenthal FD. Severe myopathy after status asthmaticus. Lancet. 1977;2(8038):615. Bolton CF, Laverty DA, Brown JD, Witt NJ, Hahn AF, Sibbald WJ. Critically ill polyneuropathy: electrophysiological studies and differentiation from GuillainBarre syndrome. J Neurol Neurosurg Psychiatry. 1986;49(5):563-73. Kerbaul F, Brousse M, Collart F, Pellissier JF, Planche D, Fernandez C, et al. Combination of histopathological and electromyographic patterns can help to evaluate functional outcome of critical ill patients with neuromuscular weakness syndromes. Crit Care. 2004;8(6):R358-66. Geller TJ, Kaiboriboon K, Fenton GA, Hayat GR. Vecuronium-associated axonal motor neuropathy: a variant of critical illness polyneuropathy? Neuromuscul Disord. 2001;11(6-7):579-82. Bednarik J, Vondracek P, Dusek L, Moravcova E, Cundrle I. Risk factors for critical illness polyneuromyopathy. J Neurol. 2005;252(3):343-51. Witt NJ, Zochodne DW, Bolton CF, Grand’Maison F, Wells G, Young GB, et al. Peripheral nerve function in sepsis and multiple organ failure. Chest. 1991;99(1):176-84. Leijten FS, De Weerd AW, Poortvliet DC, De Ridder VA, Ulrich C, Harink-De Weerd JE. Critical illness polyneuropathy in multiple organ dysfunction syndrome and weaning from the ventilator. Intensive Care Med. 1996;22(9):856-61. De Jonghe B, Cook D, Sharshar T, Lefaucheur JP, Carlet J, Outin H. Acquired neuromuscular disorders in critically ill patients: a systematic review. Groupe de Reflexion et d’Etude sur les Neuromyopathies En Reanimation. Intensive Care Med. 1998;24(12):1242-50. Marino PL, Millili JJ. Possible role of dietary lipids in critical illness polyneuropathy. Intensive Care Med. 1998;24(1):87. Schefold JC, Bierbrauer J, Weber-Carstens S. Intensive care unit-acquired weakness (ICUAW) and muscle wasting in critically ill patients with severe sepsis and septic shock. J Cachex Sarcopenia Muscle. 2010;1(2):147-57. Coakley JH, Nagendran K, Honavar M, Hinds CJ. Preliminary observations on the neuromuscular abnormalities in patients with organ failure and sepsis. Intensive Care Med. 1993;19(6):323-8. Zifko UA, Zipko HT, Bolton CF. Clinical and electrophysiological findings in critical illness polyneuropathy. J Neurol Sci. 1998;159(2):186-93. Oh SJ. Clinical electromyography nerve conduction studies. 3rd ed. Philadelphia: Lippincott Williams andWilkins; 2003. Trojaborg W, Weimer LH, Hays AP. Electrophysiologic studies in critical illness associated weakness: myopathy or neuropathy – a reappraisal. Clin Neurophysiol. 2001 Sep;112(9):1586-93. Stevens RD, Dowdy DW, Michaels RK, Mendez-Tellez PA, Pronovost PJ, Needham DM. Neuromuscular dysfunction acquired in critical illness: a systematic review. Intensive Care Med. 2007;33(11):1876-91. Visser LH. Critical illness polyneuropathy and myopathy: clinical features, risk factors and prognosis. Eur J Neurol. 2006;13(11):1203-12. De Jonghe B, Sharshar T, Hopkinson N, Outin H. Paresis following mechanical ventilation. Curr Opin Crit Care. 2004;10(1):47-52. De Jonghe B, Bastuji-Garin S, Durand MC, Malissin I, Rodrigues P, Cerf C, et al. Respiratory weakness is associated with limb weakness and delayed weaning in critical illness. Crit Care Med. 2007;35(9):2007-15. Latronico N, Fenzi F, Recupero D, Guarneri B, Tomelleri G, Tonin P, et al. Critical illness myopathy and neuropathy. Lancet. 1996;347(9015):1579-82. Garnacho-Montero J, Madrazo-Osuna J, Garcia-Garmendia JL, Ortiz-Leyba C, Jimenez-Jimenez FJ, Barrero-Almodovar A, et al. Critical illness polyneuropathy: risk factors and clinical consequences. A cohort study in septic patients. Intensive Care Med. 2001;27(8):1288-96. Pandit L, Agrawal A. Neuromuscular disorders in critical illness. Clin Neurol Neurosurg. 2006;108(7):621-7. Bercker S, Weber-Carstens S, Deja M, Grimm C, Wolf S, Behse F, et al. Critical illness polyneuropathy and myopathy in patients with acute respiratory distress syndrome. Crit Care Med. 2005;33(4):711-5. De Jonghe B, Bastuji-Garin S, Sharshar T, Outin H, Brochard L. Does ICUacquired paresis lengthen weaning from mechanical ventilation? Intensive Care Med. 2004;30(6):1117-21. Fernandez-Lorente J, Esteban A, Salinero E, Traba A, Prieto J, Palencia E. [Critical illness myopathy. Neurophysiological and muscular biopsy assessment in 33 patients]. Rev Neurol. 2010;50(12):718-26. Fletcher SN, Kennedy DD, Ghosh IR, Misra VP, Kiff K, Coakley JH, et al. Persistent neuromuscular and neurophysiologic abnormalities in long-term survivors of prolonged critical illness. Crit Care Med. 2003;31(4):1012-6. Zochodne DW, Bolton CF, Wells GA, Gilbert JJ, Hahn AF, Brown JD, et al. Critical illness polyneuropathy. A complication of sepsis and multiple organ failure. Brain. 1987;110 ( Pt 4):819-41. Tennila A, Salmi T, Pettila V, Roine RO, Varpula T, Takkunen O. Early signs of critical illness polyneuropathy in ICU patients with systemic inflammatory response syndrome or sepsis. Intensive Care Med. 2000;26(9):1360-3. Bolton CF. Neuromuscular manifestations of critical illness. Muscle Nerve. 2005;32(2):140-63. Lefaucheur JP, Nordine T, Rodriguez P, Brochard L. Origin of ICU acquired paresis determined by direct muscle stimulation. J Neurol Neurosurg Psychiatry. 2006;77(4):500-6. Koch S, Spuler S, Deja M, Bierbrauer J, Dimroth A, Behse F, et al. Critical illness myopathy is frequent: accompanying neuropathy protracts ICU discharge. J Neurol Neurosurg Psychiatry. 2011;82(3):287-93. Goodman BP, Harper CM, Boon AJ. Prolonged compound muscle action potential duration in critical illness myopathy. Muscle Nerve. 2009;40(6):1040-2. Ali NA, O’Brien JM, Jr., Hoffmann SP, Phillips G, Garland A, Finley JC, et al. Acquired weakness, handgrip strength, and mortality in critically ill patients. Am J Respir Crit Care Med. 2008;178(3):261-8. Allen DC, Arunachalam R, Mills KR. Critical illness myopathy: further evidence from muscle-fiber excitability studies of an acquired channelopathy. Muscle Nerve. 2008;37(1):14-22. Cohen M. Introduction to peripheral nerves. In: Prayson. R, Goldblum J. Neuropathology. Philadelphia, Pensilvalnia: Elsevier; 2005. p. 565-81 Hund E. Myopathy in critically ill patients. Crit Care Med. 1999;27(11):2544-7. Herridge MS, Cheung AM, Tansey CM, Matte-Martyn A, Diaz-Granados N, AlSaidi F, et al. One-year outcomes in survivors of the acute respiratory distress syndrome. N Engl J Med. 2003;348(8):683-93. Guarneri B, Bertolini G, Latronico N. Long-term outcome in patients with critical illness myopathy or neuropathy: the Italian multicentre CRIMYNE study. J Neurol Neurosurg Psychiatry. 2008;79(7):838-41. Bolton CF. Sepsis and the systemic inflammatory response syndrome: neuromuscular manifestations. Crit Care Med. 1996;24(8):1408-16. Fenzi F, Latronico N, Refatti N, Rizzuto N. Enhanced expression of E-selectin on the vascular endothelium of peripheral nerve in critically ill patients with neuromuscular disorders. Acta Neuropathol. 2003;106(1):75-82. Druschky A, Herkert M, Radespiel-Troger M, Druschky K, Hund E, Becker CM, et al. Critical illness polyneuropathy: clinical findings and cell culture assay of neurotoxicity assessed by a prospective study. Intensive Care Med. 2001;27(4):686-93. Latronico N. Neuromuscular alterations in the critically ill patient: critical illness myopathy, critical illness neuropathy, or both? Intensive Care Med. 2003;29(9):1411-3. Fink MP, Evans TW. Mechanisms of organ dysfunction in critical illness: report from a Round Table Conference held in Brussels. Intensive Care Med. 2002;28(3):369-75. 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(15):1221-5. Rich MM, Pinter MJ, Kraner SD, Barchi RL. Loss of electrical excitability in an animal model of acute quadriplegic myopathy. Ann Neurol. 1998;43(2):171-9. Rich MM, Pinter MJ. Crucial role of sodium channel fast inactivation in muscle fibre inexcitability in a rat model of critical illness myopathy. J Physiol. 2003;547(Pt 2):555-66. Filatov GN, Rich MM. Hyperpolarized shifts in the voltage dependence of fast inactivation of Nav1.4 and Nav1.5 in a rat model of critical illness myopathy. J Physiol. 2004;559(Pt 3):813-20. Brealey D, Brand M, Hargreaves I, Heales S, Land J, Smolenski R, et al. Association between mitochondrial dysfunction and severity and outcome of septic shock. Lancet. 2002;360(9328):219-23. Mitch WE, Goldberg AL. Mechanisms of muscle wasting. The role of the ubiquitin-proteasome pathway. N Engl J Med. 1996;335(25):1897-905. Tiao G, Hobler S, Wang JJ, Meyer TA, Luchette FA, Fischer JE, et al. Sepsis is associated with increased mRNAs of the ubiquitin-proteasome proteolytic pathway in human skeletal muscle. J Clin Invest. 1997;99(2):163-8. Bolton CF, Young GB, Zochodne DW. The neurological complications of sepsis. Ann Neurol. 1993;33(1):94-100. Epub 1993/01/01. Hermans G, De Jonghe B, Bruyninckx F, Van den Berghe G. Interventions for preventing critical illness polyneuropathy and critical illness myopathy. Cochrane Database Syst Rev. 2009(1) Van den Berghe G, Schoonheydt K, Becx P, Bruyninckx F, Wouters PJ. Insulin therapy protects the central and peripheral nervous system of intensive care patients. Neurology. 2005;64(8):1348-53. Latronico N, Shehu I, Guarneri B. Use of electrophysiologic testing. Crit Care Med. 2009;37(10 Suppl):S316-20. de Letter MA, Schmitz PI, Visser LH, Verheul FA, Schellens RL, Op de Coul DA, et al. Risk factors for the development of polyneuropathy and myopathy in critically ill patients. Crit Care Med. 2001;29(12):2281-6. Ahlbeck K, Fredriksson K, Rooyackers O, Maback G, Remahl S, Ansved T, et al. Signs of critical illness polyneuropathy and myopathy can be seen early in the ICU course. Acta Anaesthesiol Scand. 2009;53(6):717-23. Op de Coul AA, Verheul GA, Leyten AC, Schellens RL, Teepen JL. Critical illness polyneuromyopathy after artificial respiration. Clin Neurol Neurosurg. 1991;93(1):27-33. Cremer OL, Moons KG, Bouman EA, Kruijswijk JE, de Smet AM, Kalkman CJ. Long-term propofol infusion and cardiac failure in adult head-injured patients. Lancet. 2001;357(9250):117-8. Bolton CF. The changing concepts of Guillain-Barre syndrome. N Engl J Med. 1995;333(21):1415-7. Hughes RA, Wijdicks EF, Benson E, Cornblath DR, Hahn AF, Meythaler JM, et al. Supportive care for patients with Guillain-Barre syndrome. Arch Neurol. 2005;62(8):1194-8. Uncini A, Manzoli C, Notturno F, Capasso M. Pitfalls in electrodiagnosis of Guillain-Barre syndrome subtypes. J Neurol Neurosurg Psychiatry. 2010;81(10):1157-63. Staff NP, Engelstad J, Klein CJ, Amrami KK, Spinner RJ, Dyck PJ, et al. Post- surgical inflammatory neuropathy. Brain. 2010;133(10):2866-80. Mohr M, Englisch L, Roth A, Burchardi H, Zielmann S. Effects of early treatment with immunoglobulin on critical illness polyneuropathy following multiple organ failure and gram-negative sepsis. Intensive Care Med. 1997;23(11):1144-9. NICE-SUGAR Study Investigators, Finfer S, Chittock DR, Su SY, Blair D, Foster D, et al. Intensive versus conventional glucose control in critically ill patients. N Engl J Med. 2009;360(13):1283-97. Schweickert WD, Pohlman MC, Pohlman AS, Nigos C, Pawlik AJ, Esbrook CL, et al. Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial. Lancet. 2009;373(9678):1874-82. de Seze M, Petit H, Wiart L, Cardinaud JP, Gaujard E, Joseph PA, et al. Critical illness polyneuropathy. A 2-year follow-up study in 19 severe cases. Eur Neurol. 2000;43(2):61-9. |
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Enciso, César9b9bc1db2654d2266618eca796b3f3ae500Ojeda, Ernesto34d8af6e40b6386bfc870cf8d7672de6500Castro, Francy47fda62961722d004ef77cccb306f9ce3002013-09-01 00:00:002022-06-29T19:36:28Z2013-09-012013-09-01 00:00:002022-06-29T19:36:28ZSociedad de Cirugía de Bogotá, Hospital de San José y Fundación Universitaria de Ciencias de la SaludFundación Universitaria de Ciencias de la Salud FUCS - 0info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/4.0/http://purl.org/coar/access_right/c_abf2https://revistas.fucsalud.edu.co/index.php/repertorio/article/view/762polineuropatíamiopatíaelectromiografíaneuroconducciónpolyneuropathymyopathyelectromyographyneuroconductionPolineuropatía y miopatía en el paciente crítico. Revisión de la literaturaPolyneuropathy and myopathy in the critical patient. Review of the literatureapplication/pdfArtículo de revistaJournal articlehttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_dcae04bchttp://purl.org/coar/resource_type/c_2df8fbb1info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionTexthttp://purl.org/redcol/resource_type/ARTREVhttp://purl.org/coar/version/c_970fb48d4fbd8a8510.31260/RepertMedCir.v22.n3.2013.7620121-7372https://repositorio.fucsalud.edu.co/handle/001/27852462-991Xhttps://doi.org/10.31260/RepertMedCir.v22.n3.2013.762spaJohnson KL. Neuromuscular complications in the intensive care unit: critical illness polyneuromyopathy. AACN Adv Crit Care. 2007;18(2):167-80; quiz 81-2.Lacomis D, Zochodne DW, Bird SJ. Critical illness myopathy. Muscle Nerve. 2000;23(12):1785-8.Leijten FS, de Weerd AW. Critical illness polyneuropathy. A review of the literature, definition and pathophysiology. Clin Neurol Neurosurg. 1994;96(1):10-9.Berek K, Margreiter J, Willeit J, Berek A, Schmutzhard E, Mutz NJ. Polyneuropathies in critically ill patients: a prospective evaluation. Intensive Care Med. 1996;22(9):849-55.MacFarlane IA, Rosenthal FD. Severe myopathy after status asthmaticus. Lancet. 1977;2(8038):615.Bolton CF, Laverty DA, Brown JD, Witt NJ, Hahn AF, Sibbald WJ. Critically ill polyneuropathy: electrophysiological studies and differentiation from GuillainBarre syndrome. J Neurol Neurosurg Psychiatry. 1986;49(5):563-73.Kerbaul F, Brousse M, Collart F, Pellissier JF, Planche D, Fernandez C, et al. Combination of histopathological and electromyographic patterns can help to evaluate functional outcome of critical ill patients with neuromuscular weakness syndromes. Crit Care. 2004;8(6):R358-66.Geller TJ, Kaiboriboon K, Fenton GA, Hayat GR. Vecuronium-associated axonal motor neuropathy: a variant of critical illness polyneuropathy? Neuromuscul Disord. 2001;11(6-7):579-82.Bednarik J, Vondracek P, Dusek L, Moravcova E, Cundrle I. Risk factors for critical illness polyneuromyopathy. J Neurol. 2005;252(3):343-51.Witt NJ, Zochodne DW, Bolton CF, Grand’Maison F, Wells G, Young GB, et al. Peripheral nerve function in sepsis and multiple organ failure. Chest. 1991;99(1):176-84.Leijten FS, De Weerd AW, Poortvliet DC, De Ridder VA, Ulrich C, Harink-De Weerd JE. Critical illness polyneuropathy in multiple organ dysfunction syndrome and weaning from the ventilator. Intensive Care Med. 1996;22(9):856-61.De Jonghe B, Cook D, Sharshar T, Lefaucheur JP, Carlet J, Outin H. Acquired neuromuscular disorders in critically ill patients: a systematic review. Groupe de Reflexion et d’Etude sur les Neuromyopathies En Reanimation. Intensive Care Med. 1998;24(12):1242-50.Marino PL, Millili JJ. Possible role of dietary lipids in critical illness polyneuropathy. Intensive Care Med. 1998;24(1):87.Schefold JC, Bierbrauer J, Weber-Carstens S. Intensive care unit-acquired weakness (ICUAW) and muscle wasting in critically ill patients with severe sepsis and septic shock. J Cachex Sarcopenia Muscle. 2010;1(2):147-57.Coakley JH, Nagendran K, Honavar M, Hinds CJ. Preliminary observations on the neuromuscular abnormalities in patients with organ failure and sepsis. Intensive Care Med. 1993;19(6):323-8.Zifko UA, Zipko HT, Bolton CF. Clinical and electrophysiological findings in critical illness polyneuropathy. J Neurol Sci. 1998;159(2):186-93.Oh SJ. Clinical electromyography nerve conduction studies. 3rd ed. Philadelphia: Lippincott Williams andWilkins; 2003.Trojaborg W, Weimer LH, Hays AP. Electrophysiologic studies in critical illness associated weakness: myopathy or neuropathy – a reappraisal. Clin Neurophysiol. 2001 Sep;112(9):1586-93.Stevens RD, Dowdy DW, Michaels RK, Mendez-Tellez PA, Pronovost PJ, Needham DM. Neuromuscular dysfunction acquired in critical illness: a systematic review. Intensive Care Med. 2007;33(11):1876-91.Visser LH. Critical illness polyneuropathy and myopathy: clinical features, risk factors and prognosis. Eur J Neurol. 2006;13(11):1203-12.De Jonghe B, Sharshar T, Hopkinson N, Outin H. Paresis following mechanical ventilation. Curr Opin Crit Care. 2004;10(1):47-52.De Jonghe B, Bastuji-Garin S, Durand MC, Malissin I, Rodrigues P, Cerf C, et al. Respiratory weakness is associated with limb weakness and delayed weaning in critical illness. Crit Care Med. 2007;35(9):2007-15.Latronico N, Fenzi F, Recupero D, Guarneri B, Tomelleri G, Tonin P, et al. Critical illness myopathy and neuropathy. Lancet. 1996;347(9015):1579-82.Garnacho-Montero J, Madrazo-Osuna J, Garcia-Garmendia JL, Ortiz-Leyba C, Jimenez-Jimenez FJ, Barrero-Almodovar A, et al. Critical illness polyneuropathy: risk factors and clinical consequences. A cohort study in septic patients. Intensive Care Med. 2001;27(8):1288-96.Pandit L, Agrawal A. Neuromuscular disorders in critical illness. Clin Neurol Neurosurg. 2006;108(7):621-7.Bercker S, Weber-Carstens S, Deja M, Grimm C, Wolf S, Behse F, et al. 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A 2-year follow-up study in 19 severe cases. Eur Neurol. 2000;43(2):61-9.https://revistas.fucsalud.edu.co/index.php/repertorio/article/download/762/805Núm. 3 , Año 2013 : Julio – Septiembre167315822Revista Repertorio de Medicina y CirugíaPublicationOREORE.xmltext/xml2706https://repositorio.fucsalud.edu.co/bitstreams/c55c1355-b71f-4d73-9e4f-07ec68b6422f/downloaddce535eff54709d746e322384debfc56MD51001/2785oai:repositorio.fucsalud.edu.co:001/27852024-02-02 13:06:28.443https://creativecommons.org/licenses/by-nc-sa/4.0/Fundación Universitaria de Ciencias de la Salud FUCS - 0metadata.onlyhttps://repositorio.fucsalud.edu.coRepositorio Digital de la Fundación Universitaria de Ciencias de la Saludredi@fucsalud.edu.co |