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Critical care polyneuropathy in burn injuries: An integrative review

McKittrick, A, Kornhaber, R ORCID: 0000-0001-6556-6775, Harats, M, Cleary, M ORCID: 0000-0002-1453-4850, Visentin, DC ORCID: 0000-0001-9961-4384 and Haik, J 2017 , 'Critical care polyneuropathy in burn injuries: An integrative review' , Burns, vol. 43 , pp. 1613-1623 , doi: 10.1016/j.burns.2017.07.015.

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Polyneuropathy is a debilitating condition which may be associated with large burns. Theaim of this integrative review is to identify factors that contribute to the development ofcritical care polyneuropathy in patients admitted to an intensive care unit with a severe burninjury. PubMed, Scopus, CINHAL and EMBASE were searched up until July 2016. Studies/casereports focusing oncritical care polyneuropathy for burn injured patients were included.Theten studies, included a total of 2755 burns subjects and identified 128 critical carepolyneuropathy patients with an incidence of 4.4%. Three case reports identified prolongedventilation and development of critical care neuropathy. Overall, factors identified ascontributing to the development of critical care polyneuropathy in burn injured patientsincluded prolonged ventilation (>7 days), large and deep total body surface area burns (meanTBSA 40%), and sepsis. Critical care polyneuropathy in burn patients remains challenging todiagnose and treat. To date, there is a lack of long term studies describing the impact ofcritical care polyneuropathy on functional performance or participation in activities of dailyliving inthe burnspopulationandthis is consistent withthe general literature addressing thelack of follow up assessments and long term consequences of persistent muscle weakness.

Item Type: Article
Authors/Creators:McKittrick, A and Kornhaber, R and Harats, M and Cleary, M and Visentin, DC and Haik, J
Keywords: Critical care Polyneuropathy, Neuropathy, Distal myopathies, Burns, Review
Journal or Publication Title: Burns
Publisher: Elsevier Sci Ltd
ISSN: 0305-4179
DOI / ID Number: 10.1016/j.burns.2017.07.015
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© 2017 Elsevier Ltd and ISBI. All rights reserved.

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