Editorial
Copyright ©The Author(s) 2024.
World J Clin Cases. Apr 26, 2024; 12(12): 2023-2030
Published online Apr 26, 2024. doi: 10.12998/wjcc.v12.i12.2023
Table 1 Strengths and weaknesses of existing approaches to predicting intensive care unit-acquired weakness
Approach
Strengths
Weaknesses
Clinical assessmentClinicians can use clinical signs and symptoms to assess the risk of ICUAW, which is a non-invasive and readily available methodClinical signs and symptoms may not be sensitive or specific enough to accurately predict ICUAW
Electrophysiological TestingElectrophysiological tests, such as electromyography and nerve conduction studies, can provide objective measures of muscle function and help diagnose ICUAWElectrophysiological tests are invasive, time-consuming, and may not be feasible in critically ill patients
BiomarkersBiomarkers, such as creatine kinase and myosin light chain, can indicate muscle damage and may be useful for diagnosing ICUAWBiomarkers are not specific to ICUAW and may be elevated in other conditions
Muscle ultrasoundMuscle ultrasound can provide information about muscle thickness and echogenicity, which can be altered in patients with ICUAWThe interpretation of ultrasound findings can be subjective, and the technique may be operator-dependent