Monitoring of the Respiratory Muscles in the Critically Ill

• DOI: 10.1164/rccm.201206-1117cp
• Publication Date: 2013-01-01T06:48:21Z
• Authors: Jonne Doorduin; Hieronymus W. H. ...; Johannes G. van d...; Leo M. A. Heunks
• Keywords: Muscle Weakness; Critical Care; Electromyography; Critical Illness; Magnetic Field Therapy; Diaphragm; N4i 1: Pathogenesis and modulation of inflammation; Respiration, Artificial; Respiratory Muscles; 3. Good health; Phrenic Nerve; Radiography; 03 medical and health sciences; 0302 clinical medicine; Respiratory Mechanics; Humans; Ventilator Weaning; Monitoring, Physiologic; Ultrasonography

Evidence has accumulated that respiratory muscle dysfunction develops in critically ill patients and contributes to prolonged weaning from mechanical ventilation. Accordingly, it seems highly appropriate monitor the muscles these patients. Today, we are only at beginning of routinely monitoring function. Indeed, most clinicians do not evaluate function all. In our opinion, however, practical issues absence sound scientific data for clinical benefit should discourage having a closer look This perspective discusses latest developments field possible implications