Electrical muscle stimulation prevents critical illness polyneuromyopathy: a randomized parallel intervention trial

Routsi, Christina; Gerovasili, Vasiliki; Vasileiadis, Ioannis; Karatzanos, Eleftherios; Pitsolis, Theodore; Tripodaki, Elli; Markaki, Vasiliki; Zervakis, Dimitrios; Nanas, Serafim

doi:10.1186/cc8987

Cited by 270 publications

(355 citation statements)

References 41 publications

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“…According to the results of an intent‐to‐treat analysis436 of the findings obtained by Routesi et al 434. and Kho et al .,435 there were no significant differences in the incidence of ICU‐AW in comparison with the control group.…”

Section: Cq18: Icu‐acquired Weakness (Icu‐aw) and Post‐intensive Carementioning

confidence: 89%

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The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J‐SSCG2016)

Nishida

Ogura

Egi

et al. 2018

Acute Medicine & Surgery

157

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Background and PurposeThe Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J‐SSCG 2016), a Japanese‐specific set of clinical practice guidelines for sepsis and septic shock created jointly by the Japanese Society of Intensive Care Medicine and the Japanese Association for Acute Medicine, was first released in February 2017 in Japanese. An English‐language version of these guidelines was created based on the contents of the original Japanese‐language version.MethodsMembers of the Japanese Society of Intensive Care Medicine and the Japanese Association for Acute Medicine were selected and organized into 19 committee members and 52 working group members. The guidelines were prepared in accordance with the Medical Information Network Distribution Service (Minds) creation procedures. The Academic Guidelines Promotion Team was organized to oversee and provide academic support to the respective activities allocated to each Guideline Creation Team. To improve quality assurance and workflow transparency, a mutual peer review system was established, and discussions within each team were open to the public. Public comments were collected once after the initial formulation of a clinical question (CQ), and twice during the review of the final draft. Recommendations were determined to have been adopted after obtaining support from a two‐thirds (>66.6%) majority vote of each of the 19 committee members.ResultsA total of 87 CQs were selected among 19 clinical areas, including pediatric topics and several other important areas not covered in the first edition of the Japanese guidelines (J‐SSCG 2012). The approval rate obtained through committee voting, in addition to ratings of the strengths of the recommendation and its supporting evidence were also added to each recommendation statement. We conducted meta‐analyses for 29 CQs. Thirty seven CQs contained recommendations in the form of an expert consensus due to insufficient evidence. No recommendations were provided for 5 CQs.ConclusionsBased on the evidence gathered, we were able to formulate Japanese‐specific clinical practice guidelines that are tailored to the Japanese context in a highly transparent manner. These guidelines can easily be used not only by specialists, but also by non‐specialists, general clinicians, nurses, pharmacists, clinical engineers, and other healthcare professionals.

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Section: Cq18: Icu‐acquired Weakness (Icu‐aw) and Post‐intensive Carementioning

confidence: 89%

“…Two single‐center RCTs have reported on the efficacy of electrical muscle stimulation as a measure to prevent ICU‐AW 434, 435. According to the results of an intent‐to‐treat analysis436 of the findings obtained by Routesi et al 434.…”

Section: Cq18: Icu‐acquired Weakness (Icu‐aw) and Post‐intensive Carementioning

confidence: 99%

The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J‐SSCG2016)

Nishida

Ogura

Egi

et al. 2018

Acute Medicine & Surgery

157

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“…It is now time to fill this gap! The experience gained from exercise physiology studies should now be redirected to pathological applications; good examples come from cardiorespiratory and internal care medicine where chronic obstructive pulmonary disease patients and critically ill patients are increasingly stimulated to preserve their muscle mass and function (Vivodtzev et al 2008;Routsi et al 2010). Additional efforts are needed to identify the most relevant applications of NMES training in the clinical setting, and also to discern its effectiveness and the time-course of neuromuscular adaptations for specific patient populations.…”

Section: Effectivenessmentioning

confidence: 99%

Electrical stimulation for neuromuscular testing and training: state-of-the art and unresolved issues

et al. 2011

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“…26 With the increasing recognition that the ICU care we deliver needs to ensure the optimal functional outcome of patients, further study and a better understanding of ICUAW are important next steps. There have been a significant number of studies published 8,15,16,23,24,[27][28][29][30][31][32] since the previous systematic review supporting updating the estimate of the incidence of ICUAW. In addition, with the marked variation in diagnostic criteria used across studies, further investigation of this heterogeneity may be useful in identifying trends, for example in incidence, within the diagnosis.…”

Section: Introductionmentioning

confidence: 99%

The incidence of intensive care unit-acquired weakness syndromes: A systematic review

Appleton

Kinsella

Quasim

2014

Journal of the Intensive Care Society

151

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We conducted a literature review of the intensive care unit-acquired weakness syndromes (critical illness polyneuropathy, critical illness myopathy and critical illness neuromyopathy) with the primary objective of determining their incidence as a combined group. Studies were identified through MEDLINE, Embase, Cochrane Database and article reference list searches and were included if they evaluated the incidence of one or more of these conditions in an adult intensive care unit population. The incidence of an intensive care unit-acquired weakness syndrome in the included studies was 40% (1080/2686 patients, 95% confidence interval 38-42%). The intensive care unit populations included were heterogeneous though largely included patients receiving mechanical ventilation for seven or more days. Additional prespecified outcomes identified that the incidence of intensive care unit-acquired weakness varied with the diagnostic technique used, being lower with clinical (413/1276, 32%, 95% CI 30-35%) compared to electrophysiological techniques (749/1591, 47%, 95% CI 45-50%). Approximately a quarter of patients were not able to comply with clinical evaluation and this may be responsible for potential underreporting of this condition.

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Electrical muscle stimulation prevents critical illness polyneuromyopathy: a randomized parallel intervention trial

Cited by 270 publications

References 41 publications

The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J‐SSCG2016)

The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J‐SSCG2016)

Electrical stimulation for neuromuscular testing and training: state-of-the art and unresolved issues

The incidence of intensive care unit-acquired weakness syndromes: A systematic review

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