{"id":2359,"date":"2016-08-18T18:06:49","date_gmt":"2016-08-19T00:06:49","guid":{"rendered":"https:\/\/learningneurology.com\/?page_id=2359"},"modified":"2018-10-14T18:05:36","modified_gmt":"2018-10-14T18:05:36","slug":"critical-care-neuropathy-cip","status":"publish","type":"post","link":"https:\/\/learningneurology.com\/critical-care-neuropathy-cip\/","title":{"rendered":"Critical Care Neuropathy CIP"},"content":{"rendered":"<h4>Synonyms:<\/h4>\n<p>a.k.a. critical illness polyneuropathy CIP<\/p>\n<h4>Diagnosis:<\/h4>\n<p>This is a clinical diagnosis supported by electrodiagnostic features<\/p>\n<h4>Clinical features:<\/h4>\n<p>Severely ill patient &gt;1 week in ICU, acute weakness (distal initially), areflexia, flaccid tetraparesis, atrophy, difficulty weaning from ventilator,<\/p>\n<h4>Findings on investigations:<\/h4>\n<p>+NCS\/EMG:<\/p>\n<ul>\n<li>EMG\/NCS: reduced CMAP amplitude, reduced SNAP amplitude, normal velocities, no conduction block, fibrillations.<\/li>\n<\/ul>\n<p>NCS:<\/p>\n<ul>\n<li>Axonal<\/li>\n<li>CMAP: decreased amplitude, normal conduction velocity<\/li>\n<li>SNAP: decreased or normal amplitude. Normal Sensory conduction velocity<\/li>\n<\/ul>\n<p>EMG:<\/p>\n<ul>\n<li>fibrillation potentials, positive waves<\/li>\n<\/ul>\n<p>Other tests:<\/p>\n<ul>\n<li>CSF: normal<\/li>\n<\/ul>\n<h4>Pathology:<\/h4>\n<p>Axonal loss<br \/>\nNo inflammation in nerves<\/p>\n<h4>Treatment:<\/h4>\n<p>Prevention: Better glycemic control reduces risk of critical care neuropathy.<\/p>\n<h4>Related articles:<\/h4>\n<ul>\n<li><a href=\"https:\/\/learningneurology.com\/approach-to-weakness\/\">Approach to weakness<\/a>, <a href=\"https:\/\/learningneurology.com\/neuromuscular-patterns\/\">neuromuscular disease patterns<\/a>, <a href=\"https:\/\/learningneurology.com\/diseases\/polyneuropathy\/\">polyneuropathy<\/a>,<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Synonyms: a.k.a. critical illness polyneuropathy CIP Diagnosis: This is a clinical diagnosis supported by electrodiagnostic features Clinical features: Severely ill patient &gt;1 week in ICU, acute weakness (distal initially), areflexia, flaccid tetraparesis, atrophy, difficulty weaning from ventilator, Findings on investigations: +NCS\/EMG: EMG\/NCS: reduced CMAP amplitude, reduced SNAP amplitude, normal velocities, no conduction block, fibrillations. NCS: &hellip; <a href=\"https:\/\/learningneurology.com\/critical-care-neuropathy-cip\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Critical Care Neuropathy CIP<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[32],"tags":[21,29],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p71rnx-C3","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/learningneurology.com\/wp-json\/wp\/v2\/posts\/2359"}],"collection":[{"href":"https:\/\/learningneurology.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/learningneurology.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/learningneurology.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/learningneurology.com\/wp-json\/wp\/v2\/comments?post=2359"}],"version-history":[{"count":0,"href":"https:\/\/learningneurology.com\/wp-json\/wp\/v2\/posts\/2359\/revisions"}],"wp:attachment":[{"href":"https:\/\/learningneurology.com\/wp-json\/wp\/v2\/media?parent=2359"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/learningneurology.com\/wp-json\/wp\/v2\/categories?post=2359"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/learningneurology.com\/wp-json\/wp\/v2\/tags?post=2359"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}