ICU acquired weakness or polyneuropathy
An interview with Dr John Kress, an ITU physician from the University of Chicago. Dr Kress is a highly respected and well published doctor with an interest in ICU acquired weakness or polyneuropathy, one of his more well known papers being ” Daily Interruption of Sedative Infusions in Critically Ill Patients Undergoing Mechanical Ventilation” which discussed the use of sedation breaks in the critically ill patients in intensive care.
ICU-Acquired Weakness and recovery from Critical Illness. N Engl J Med 370;17 nejm.org april 24, 2014
Dr Kress very kindly agreed to help me understand some of the principles involved in this paper.
This article discusses the effects ICU acquired weakness or polyneuropathy can have on the recovery of the patient and some of the causes of it. It then goes onto to describe some of the simple approaches the nurse and medical staff can take to help the patient recover form this debilitating condition.
Early mobilisation of the patient was one of the main principles and this is highlighted in one of his other papers “Sedation and Mobility- Changing the Paradigm” – even having patients who could stand up and walk whilst still intubated and on the ventilator.
Minimising sedation is another way to improve the patients progress in the intensive care unit and Dr Kress wrote an editorial on this topic clarifying some of the thinking; “The Changing Landscape of ICU Sedation“.
Analgesic first approach is another way to hopefully help the patient move their intensive care stay forward and PulmCCM has done a good review on this subject which I would recommend you read.
If you have any experience of any of the issues raised then please get in touch…I would love to talk.
|Podcast Link||Podcast Episode Name|
|CCP Podcast 001||Introduction and Interview with Teresa Chinn from @WeNurses|
|CCP Podcast 002||Twitter, Google Hang Outs and Speakpipe|
|CCP Podcast 003||Interview with Robin Davies, Lead Resuscitation Officer|
|CCP Podcast 004||Great Medical Podcasts to Listen To|
|CCP Podcast 005||Chat with Ken Spearpoint|
|CCP Podcast 006||Chat with David Barton|
|CCP Podcast 007||Chat with Bethan Bishop|
|CCP Podcast 008||Chat with Claire Flatt|
|CCP Podcast 009||SMACC Me Hard!|
|CCP Podcast 010||Cricoid Pressure: Do it? Do it right? Or do it at all?|
|CCP Podcast 011||Social Media...Use it, don't abuse it!|
|CCP Podcast 012||Get my feet to the floor...please!|
|CCP Podcast 013||Mind and Body|
|CCP Podcast 014||How Much Fluid?|
|CCP Podcast 015||The Power of Practitioners?|
|CCP Podcast 016||The Strong Arm of Eric...YouTube Learning.|
|CCP Podcast 017||Simon is one of the First 2 Act|
|CCP Podcast 018||Mechanical Ventilation...|
|CCP Podcast 019||SepsisPAM analysed. Gav and Jonathan try to work it out!|
|CCP Podcast 020||More Power to Practitioners|
|CCP Podcast 021||Jesse's Show|
|CCP Podcast 022||ACPs Education, Education, Education.|
|CCP Podcast 023||Wash Your Mouth Out!!|
|CCP Podcast 024||Mechanical Ventilation...the basics|
|CCP Podcast 025||Teresa Gets A Gong!|
|CCP Podcast 026||Crew Resource Management...What?|
|CCP Podcast 027||Crew Resource Management Continued|
|CCP Podcast 028||James DuCanto Talks Intubation|
|CCP Podcast 029||Mechanical Ventilation...Phases of the Breath|
|CCP Podcast 030||SMACC it!|
|CCP Podcast 031||Lifesaver to Lightsabre!|
|CCP Podcast 032||Hello South Africa!|
|CCP Podcast 033||Calling all students...|
|CCP Podcast 034||Mechanical Ventilation...Types of breath|
|CCP Podcast 035||5 Tips for Better Presentations|
|CCP Podcast 036||Head of Bed Elevation and Reflux|
|CCP Podcast 037||How to Make Ultrasound Easier!|
|CCP Podcast 038||WeNurses Tweet Chat About Advanced Practitioners|
|CCP Podcast 039||Early Mobilisation- Get Them Moving!|
|CCP Podcast 040||Why Won't We Change?|
|CCP Podcast 041||PTSD in Critical Care|
|CCP Podcast 042||What angle should I sit my patient at?|
|CCP Podcast 043||Why won't my patient sleep?|
|CCP Podcast 044||Helping the ITU patient sleep|
|CCP Podcast 045||Simple Things to Help them Sleep|
|CCP Podcast 046||PTSD in Critical Care II|
|CCP Podcast 047||Advanced Critical Care Practitioner|
|CCP Podcast 048||RSI- Which Drug?|
|CCP Podcast 049||Central Venous Catheter- Which Needle?|
|CCP Podcast 050||LeoPARDS Trial|
|CCP Podcast 051||ICU Follow Up Clinics|
|CCP Podcast 052||Chronic Critical Illness|
|CCP Podcast 053||Nutrition Guidelines
|CCP Podcast 054||Nutrition Guidelines at ICSSOA 2016
|CCP Podcast 055||Papers of the Month
|CCP Podcast 056||Got to help them cough
|CCP Podcast 057||Papers of the Month
|CCP Podcast 058||Early Mobilisation. Do we know it works?
|CCP Podcast 059||Surviving the ICU: The Patient Experience.
|CCP Podcast 060||My Critical Care Patient Can't Swallow! Why?
|CCP Podcast 061||Papers of the Month: March 2017
|CCP Podcast 062||Escalate the Patient!
|CCP Podcast 063||The Two Jonnys Do Twitter: May 2017
|CCP Podcast 064||Papers of the Month May 2017
|CCP Podcast 065||ACCP Presentation- What, Why, How?
|CCP Podcast 066||The Two Jonnys Do Twitter: May 2017 (2)
|CCP Podcast 067||Papers of the Month June 2017
|CCP Podcast 068||The Two Jonnys Do Twitter: June 2017
|CCP Podcast 069||DasSMACC Day 1
|CCP Podcast 070||DasSMACC Day 2
|CCP Podcast 071||DasSMACC Day 3
|CCP Podcast 072||The Two Jonnys Do Twitter: July 2017
|CCP Podcast 073||Bariatric Surgery in the Management of the Obese Patient
|CCP Podcast 074||Lung Ultrasound with SonoPhysio
|CCP Podcast 075||ACP Conference October 2017
|CCP Podcast 076||The Two Jonnys Septmber 2017
|CCP Podcast 077||NCEPOD 2017 Acute NIV
|CCP Podcast 078||NCEPOD 2017 Acute NIV- A Discussion
|CCP Podcast 079||The Two Jonnys November 2017
|CCP Podcast 080||Nitin does FICE….quickly!
|CCP Podcast 081||The Two Jonnys at ICSSOA 2017 (and Dave)
|CCP Podcast 082||FICE...Just Do It!
|CCP Podcast 083||Guidelines to Tracheal Intubation
|CCP Podcast 084||Audits on some ACCPs skills
|CCP Podcast 085||Papers of the Month March 2018
|CCP Podcast 086||Psychology of patients, relatives and staff
|CCP Podcast 087||ECMO- How can I make the best referral?
|CCP Podcast 088||Chat about NTI2018
|CCP Podcast 089||Cath and Jonathan chat about BTS2018
|CCP Podcast 090||Mechanical Ventilation with Thomas
|CCP Podcast 091||Practitioners Across The Pond
|CCP Podcast 092||Practicing Critical Care Like An Adult
|CCP Podcast 093||Recent research with Nicole Kupchik
|CCP Podcast 094||Magnesium for the win.
|CCP Podcast 095||More mechanical ventilation with Thomas
|CCP Podcast 096||Hyponatremia
|CCP Podcast 097||ERS Conference 2018
|CCP Podcast 098||Bryan talks AKI
|CCP Podcast 099||Fluids- Part I
|CCP Podcast 100||The Two Jonnys Season Two
|CCP Podcast 101||Palliative Care in the ICU
|CCP Podcast 102||Dale Needham and Delirium
|CCP Podcast 103||Acute Right Heart Failure
Get in touch with JonathanI would love to hear from you so that we can start to work together.
- Send an email to firstname.lastname@example.org
- Use my voicemail service link to the right of this page
- Fill in contact form at the bottom of the page