Nerve conduction study in critical ill patient to diagnosis and prognosis of neuropathy in lower limb.

Dr. ANKIT KUMAWAT; Dr. GARIMA BAFNA; Dr. RAVI KUMAWAT; Dr. ABHILASHA DUBEY

Volume : IX, Issue : II, February - 2020

Nerve conduction study in critical ill patient to diagnosis and prognosis of neuropathy in lower limb.

Dr. Ankit Kumawat, Dr. Garima Bafna, Dr. Ravi Kumawat, Dr. Abhilasha Dubey

Abstract :

INTRODUCTION– Critical care polyneuropathy (CIP) is motor and sensory polyneuropathy developed as a complication of systemic inflammatory response syndrome (SIRS) and multi organ failure (MOF) in intensive care unit (ICU) of both surgical and medical unit after a period of days and weeks. Prevalence of disease not discriminate gender, race, and age.Electrophysiologic investigations is one of the diagnostic test as well as prognostic criteria. AIMS To find out relation of nerve conduction velocity, evoke potential abnormalities in cases and controls. Objective To assess and compare side to side nerve conduction velocity, latency and degree of reversibility of neuropathy in critical ill patients after recovery. METHOD The present study was conducted on 40 patients (aged 20–40 years), in department of physiology with collaboration with department of medicine and surgery ICU in JLN medical college and attached hospitals, Ajmer. Nerve conduction velocity and evoke potential recorded. Patient was made to lie down and surface electrodes were fixed over the skin which is on the nerve and supplying muscle, by stimulating the nerve at two different point. RESULT Motor and sensory response is reduced in Peroneal and Sural nerve and increases distal latency after one week of admission in ICU. Nerve conduction amplitude is more significant, a positive co–relation found between motor and sensory action potential and neuropathy. CONCLSION Critical illness polyneuropathy are frequent complications that occur in patients in intensive care units, especially in sepsis, systemic inflammatory response syndrome, and/or multiple organ failure. Nerve conduction study is use for diagnostic and therapeutic strategies for treatment of critical illness polyneuropathy. SIGNIFICANCE Present Study signifies the importance of nerve conduction studies in early initiation of treatment and recovery of neuropathy in ICU patients.