Management of Polyneuromyopathy in a Critically Ill Patient with a Left Ventricular Assist Device

Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2022 Dec 4;43(3):67-72. doi: 10.2478/prilozi-2022-0038. Print 2022 Nov 1.

Abstract

Critical illness polyneuromyopathy after cardiac surgery is often unrecognized and is a rarely reported clinical condition. It is characterized by more proximal than distal symmetrical flaccid muscle weakness and difficulty in weaning from a respirator. When done in a timely manner, rehabilitation prevents early complications and reduces the length of hospitalization. Rehabilitation leads to better motor outcome, improves short-term and long-term functionality, and results in a better quality of life.

Keywords: LVAD; critical illness polyneuromyopathy; rehabilitation.

MeSH terms

  • Critical Illness
  • Heart-Assist Devices* / adverse effects
  • Humans
  • Quality of Life