Ultrasound analysis of the quadriceps femoris of critically ill patients on mechanical ventilation
DOI:
https://doi.org/10.5585/conssaude.v19n1.17090Keywords:
Ultrasonography, Quadriceps muscle, Muscle, Skeletal, Intensive Care UnitsAbstract
Introduction: Due to the several damages caused by immobility in the bed, it is necessary to have an early assessment of the muscular state of patients.
Objective: Compare ultrasounds and correlate the muscle thickness with the echo intensity of the rectus femoris (RF) and vastus intermedia (VI) muscle in 48 hours and with 7 days of invasive mechanical ventilation (IMV).
Methods: This is a prospective observational study, with 53 images obtained in Intensive Care Unit.
Results: There was a reduction in the muscular thickness of RF, VI and total thickness. We observed a negative correlation between muscle thickness and RF echo intensity in the first 48 hours and 7 days after IMV. Regarding VI, we did not observe an association of VI thickness with the echo intensity in the same period.
Conclusion: We evidenced a relevant reduction in the muscular thickness of the RF, VI and total thickness of the quadriceps. We observed a change in the composition of the RF muscle fiber, however this behavior was not noticed in the VI muscle.
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