2 Iconography
Access to the text (HTML) Access to the text (HTML)
PDF Access to the PDF text

Access to the full text of this article requires a subscription.
  • If you are a subscriber, please sign in 'My Account' at the top right of the screen.

  • If you want to subscribe to this journal, see our rates

  • You can purchase this item in Pay Per ViewPay per View - FAQ : 33,00 € Taxes included to order
    Pages Iconography Videos Other
    7 2 0 0

Nutrition clinique et métabolisme
Volume 28, n° 4
pages 294-300 (décembre 2014)
Doi : 10.1016/j.nupar.2014.10.009
Received : 10 June 2014 ;  accepted : 13 October 2014
Activité physique et nutrition en réanimation
Physical activity and nutrition in intensive care unit

Muriel Lemaire, Jean-Charles Preiser
 Service des soins intensifs, hôpital Erasme, université Libre de Bruxelles, 808, route de Lennik, 1070 Bruxelles, Belgique 

Auteur correspondant.

La faiblesse musculaire acquise en réanimation représente une complication fréquente et multifactorielle décrite chez le patient agressé. L’expression clinique et les conséquences à long terme de cette entité peuvent limiter le pronostic vital et la capacité fonctionnelle. La physiopathologie en est particulièrement complexe et partiellement iatrogène, par exemple lorsqu’une sédation prolongée est appliquée. Le dépistage, la prévention et le traitement de la faiblesse musculaire de réanimation nécessitent une prise en charge multimodale associant mobilisation précoce, limitation de la durée de sédation et apports calorico-azotés optimaux, ni excessifs à la phase aiguë, ni insuffisants à la phase tardive.

The full text of this article is available in PDF format.

Intensive care unit-acquired muscular weakness is a common and multifactorial complication of the critically ill patient. Clinical signs and long-term consequences can worsen the vital outcome and functional autonomy. The pathophysiology of this condition is complex and partially iatrogenic, when prolonged sedation is used. The screening, prevention and treatment of muscular weakness require a multimodal approach, combining early mobilization, shortening of sedation and optimal proteo-caloric intakes, avoiding overfeeding during the early phase and underfeeding during the late phase of critical illness.

The full text of this article is available in PDF format.

Mots clés : Faiblesse musculaire, Protéolyse, Sédation, Mobilisation précoce

Keywords : Muscular weakness, Protein breakdown, Sedation, Early mobilization

© 2014  Elsevier Masson SAS. All Rights Reserved.
EM-CONSULTE.COM is registrered at the CNIL, déclaration n° 1286925.
As per the Law relating to information storage and personal integrity, you have the right to oppose (art 26 of that law), access (art 34 of that law) and rectify (art 36 of that law) your personal data. You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted.
Personal information regarding our website's visitors, including their identity, is confidential.
The owners of this website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties.
Article Outline