SlideShare uma empresa Scribd logo
1 de 25
Critical Care Management of Motor Neuron Disease PJ Papadakos MD FCCM Director CCM Professor Anesthesiology, Surgery and Neurosurgery Rochester NY USA
June 8, 2009
June 8, 2009
ICU-acquired Weakness June 8, 2009
Basic Anatomy
 
 
Pathogenesis? June 8, 2009 Axonopathy UMN lesion Neuropathy NMJ Myopathy
Critical Iliness Neuropathy
Incidence Rate ,[object Object],[object Object],[object Object]
Definition ,[object Object],[object Object],[object Object],[object Object]
Critical illness myopathy and neuropathy Current Opinion in Critical Care 2005; 11:126-132 Fig. Major electroneurographic features in axonal and demyelinating neuropathy
[object Object],[object Object],[object Object],[object Object]
Short-term Outcome ,[object Object],[object Object]
Approach to the comatose patient ,[object Object],[object Object],[object Object]
Acute neuromuscular respiratory failure ,[object Object],[object Object],[object Object],[object Object]
Long-term Outcome ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prevention and Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Conclusion ,[object Object],[object Object]
Spinal Trauma
 

Mais conteúdo relacionado

Mais procurados

Neuromuscular Junction Disease
Neuromuscular Junction DiseaseNeuromuscular Junction Disease
Neuromuscular Junction Disease
Miami Dade
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravis
Var Dan
 
Chronic Illness Polyneuromyopathy/ Myopathy
Chronic Illness Polyneuromyopathy/ MyopathyChronic Illness Polyneuromyopathy/ Myopathy
Chronic Illness Polyneuromyopathy/ Myopathy
EdJoey Reyes
 
Pregnancy in a young girl with Myasthenia Gravis.
Pregnancy in a young girl with Myasthenia Gravis.Pregnancy in a young girl with Myasthenia Gravis.
Pregnancy in a young girl with Myasthenia Gravis.
Anita Aggarwal
 
myasthenia gravis
myasthenia gravismyasthenia gravis
myasthenia gravis
khehkesha
 
Congenital Myasthenic Syndrome
Congenital Myasthenic SyndromeCongenital Myasthenic Syndrome
Congenital Myasthenic Syndrome
Hunterjumper102
 

Mais procurados (20)

Disorders of the neuromuscular junction
Disorders of the neuromuscular junctionDisorders of the neuromuscular junction
Disorders of the neuromuscular junction
 
Myasthenia gravis for students part one
Myasthenia gravis for students part oneMyasthenia gravis for students part one
Myasthenia gravis for students part one
 
CNS myasthenia gravis davidson 10 MCQs.
 CNS myasthenia gravis davidson 10 MCQs. CNS myasthenia gravis davidson 10 MCQs.
CNS myasthenia gravis davidson 10 MCQs.
 
Using EKG to Confirm MI in Mouse Model of Permanent LAD Occlusion
Using EKG to Confirm MI in Mouse Model of Permanent LAD OcclusionUsing EKG to Confirm MI in Mouse Model of Permanent LAD Occlusion
Using EKG to Confirm MI in Mouse Model of Permanent LAD Occlusion
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravis
 
Neuromuscular Junction Disease
Neuromuscular Junction DiseaseNeuromuscular Junction Disease
Neuromuscular Junction Disease
 
Critical Illness Polyneuropathy
Critical Illness PolyneuropathyCritical Illness Polyneuropathy
Critical Illness Polyneuropathy
 
Myasthenia gravis
Myasthenia gravis Myasthenia gravis
Myasthenia gravis
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravis
 
Chronic Illness Polyneuromyopathy/ Myopathy
Chronic Illness Polyneuromyopathy/ MyopathyChronic Illness Polyneuromyopathy/ Myopathy
Chronic Illness Polyneuromyopathy/ Myopathy
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravis
 
Mysthenia gravis
Mysthenia gravisMysthenia gravis
Mysthenia gravis
 
Lambert Eaton Myasthenic Syndrome (LEMS)
Lambert Eaton Myasthenic Syndrome (LEMS)Lambert Eaton Myasthenic Syndrome (LEMS)
Lambert Eaton Myasthenic Syndrome (LEMS)
 
Pregnancy in a young girl with Myasthenia Gravis.
Pregnancy in a young girl with Myasthenia Gravis.Pregnancy in a young girl with Myasthenia Gravis.
Pregnancy in a young girl with Myasthenia Gravis.
 
ICU Acquired Weakness
ICU Acquired WeaknessICU Acquired Weakness
ICU Acquired Weakness
 
myasthenia gravis
myasthenia gravismyasthenia gravis
myasthenia gravis
 
Critical illness polyneuropathy
Critical illness polyneuropathyCritical illness polyneuropathy
Critical illness polyneuropathy
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravis
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravis
 
Congenital Myasthenic Syndrome
Congenital Myasthenic SyndromeCongenital Myasthenic Syndrome
Congenital Myasthenic Syndrome
 

Semelhante a Critical Care Management of Motor Neuron Disease

Syncope
Syncope  Syncope
Syncope
SMSRAZA
 
Pediatric traumatic brain injury presentation
Pediatric traumatic brain injury presentation Pediatric traumatic brain injury presentation
Pediatric traumatic brain injury presentation
Robert Parker
 
Electroconvulsiv Therapy Presentation
Electroconvulsiv Therapy PresentationElectroconvulsiv Therapy Presentation
Electroconvulsiv Therapy Presentation
chmiel23
 
Positron emission tomographic scan
Positron emission tomographic scanPositron emission tomographic scan
Positron emission tomographic scan
Prashant Makhija
 
Advances in myasthenia gravis
Advances in myasthenia gravisAdvances in myasthenia gravis
Advances in myasthenia gravis
NeurologyKota
 
Regional vs. General Anesthesia in Hip Surgery
Regional vs. General Anesthesia in Hip SurgeryRegional vs. General Anesthesia in Hip Surgery
Regional vs. General Anesthesia in Hip Surgery
meducationdotnet
 

Semelhante a Critical Care Management of Motor Neuron Disease (20)

Myasthenia Gravis - Management
Myasthenia Gravis - ManagementMyasthenia Gravis - Management
Myasthenia Gravis - Management
 
Critical Illness Neuropathy & Myopathy
Critical Illness Neuropathy & Myopathy Critical Illness Neuropathy & Myopathy
Critical Illness Neuropathy & Myopathy
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravis
 
Syncope
Syncope  Syncope
Syncope
 
Syncope
Syncope  Syncope
Syncope
 
Spinal Cord Stimulation Dr Andrew Crockett
Spinal Cord Stimulation   Dr Andrew CrockettSpinal Cord Stimulation   Dr Andrew Crockett
Spinal Cord Stimulation Dr Andrew Crockett
 
Pediatric traumatic brain injury presentation
Pediatric traumatic brain injury presentation Pediatric traumatic brain injury presentation
Pediatric traumatic brain injury presentation
 
Electroconvulsiv Therapy Presentation
Electroconvulsiv Therapy PresentationElectroconvulsiv Therapy Presentation
Electroconvulsiv Therapy Presentation
 
post traumatic epilepsy
post traumatic epilepsypost traumatic epilepsy
post traumatic epilepsy
 
Lecture section...Myasthenia Gravis
Lecture section...Myasthenia GravisLecture section...Myasthenia Gravis
Lecture section...Myasthenia Gravis
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravis
 
Positron emission tomographic scan
Positron emission tomographic scanPositron emission tomographic scan
Positron emission tomographic scan
 
Advances in myasthenia gravis
Advances in myasthenia gravisAdvances in myasthenia gravis
Advances in myasthenia gravis
 
Ra and oa residents
Ra and oa residentsRa and oa residents
Ra and oa residents
 
Approach to Low Back Pain
Approach to Low Back PainApproach to Low Back Pain
Approach to Low Back Pain
 
Regional vs. General Anesthesia in Hip Surgery
Regional vs. General Anesthesia in Hip SurgeryRegional vs. General Anesthesia in Hip Surgery
Regional vs. General Anesthesia in Hip Surgery
 
Prophylactic cranial irradiation
Prophylactic cranial irradiationProphylactic cranial irradiation
Prophylactic cranial irradiation
 
Chronic progressive external ophthalmoplegia
Chronic progressive external ophthalmoplegiaChronic progressive external ophthalmoplegia
Chronic progressive external ophthalmoplegia
 
Spine surgeon Dr Arun L Naik Bangalore india
Spine surgeon Dr Arun L Naik Bangalore india Spine surgeon Dr Arun L Naik Bangalore india
Spine surgeon Dr Arun L Naik Bangalore india
 
Neuromuscular Disease
Neuromuscular DiseaseNeuromuscular Disease
Neuromuscular Disease
 

Mais de Dr.Mahmoud Abbas

Mais de Dr.Mahmoud Abbas (20)

EGYPTIAN IMPRINT IN SPAIN Lecture by Dr Abeer Zahana
EGYPTIAN IMPRINT IN SPAIN Lecture by Dr Abeer ZahanaEGYPTIAN IMPRINT IN SPAIN Lecture by Dr Abeer Zahana
EGYPTIAN IMPRINT IN SPAIN Lecture by Dr Abeer Zahana
 
Technologies for the Fashion Industry_ What’s new_ (1).pdf
Technologies for the Fashion Industry_ What’s new_  (1).pdfTechnologies for the Fashion Industry_ What’s new_  (1).pdf
Technologies for the Fashion Industry_ What’s new_ (1).pdf
 
Natural Dyes Greener ways to color textiles.pdf
Natural Dyes Greener ways to color textiles.pdfNatural Dyes Greener ways to color textiles.pdf
Natural Dyes Greener ways to color textiles.pdf
 
Trends in Active wear and Athleisure.pdf
Trends in Active wear and Athleisure.pdfTrends in Active wear and Athleisure.pdf
Trends in Active wear and Athleisure.pdf
 
The Changing Role of the Coronary Care Cardiologist & The Emerging Role of Ca...
The Changing Role of the Coronary Care Cardiologist & The Emerging Role of Ca...The Changing Role of the Coronary Care Cardiologist & The Emerging Role of Ca...
The Changing Role of the Coronary Care Cardiologist & The Emerging Role of Ca...
 
Drug Induced Kidney Injury in the ICU.pdf
Drug Induced Kidney Injury in the ICU.pdfDrug Induced Kidney Injury in the ICU.pdf
Drug Induced Kidney Injury in the ICU.pdf
 
Using Novel Kidney Biomarkers to Guide Drug Therapy.pdf
Using Novel Kidney Biomarkers to Guide Drug Therapy.pdfUsing Novel Kidney Biomarkers to Guide Drug Therapy.pdf
Using Novel Kidney Biomarkers to Guide Drug Therapy.pdf
 
How Textile Digital Printing Changed Interior Designs.pdf
How Textile Digital Printing Changed Interior Designs.pdfHow Textile Digital Printing Changed Interior Designs.pdf
How Textile Digital Printing Changed Interior Designs.pdf
 
What makes a design fashionable (prints & fashion).pdf
What makes a design fashionable (prints & fashion).pdfWhat makes a design fashionable (prints & fashion).pdf
What makes a design fashionable (prints & fashion).pdf
 
Use of Steroids in COVID 19- Egyptian Critical Care Summit.pdf
Use of Steroids in COVID 19- Egyptian Critical Care Summit.pdfUse of Steroids in COVID 19- Egyptian Critical Care Summit.pdf
Use of Steroids in COVID 19- Egyptian Critical Care Summit.pdf
 
Decorative effects on wool fabrics.pdf
Decorative effects on wool fabrics.pdfDecorative effects on wool fabrics.pdf
Decorative effects on wool fabrics.pdf
 
Technical textiles the future of textile
Technical textiles the future of textileTechnical textiles the future of textile
Technical textiles the future of textile
 
The future of the jeans sustainable washing cairo textile week
The future of the jeans sustainable washing cairo textile weekThe future of the jeans sustainable washing cairo textile week
The future of the jeans sustainable washing cairo textile week
 
Why Egypt should be competitive in the Global Denim Supply Chain?
Why Egypt should be competitive in the Global Denim Supply Chain?Why Egypt should be competitive in the Global Denim Supply Chain?
Why Egypt should be competitive in the Global Denim Supply Chain?
 
Cairo Textile Week 2021 Conference -Egypt Textiles & Home Textiles Export Cou...
Cairo Textile Week 2021 Conference -Egypt Textiles & Home Textiles Export Cou...Cairo Textile Week 2021 Conference -Egypt Textiles & Home Textiles Export Cou...
Cairo Textile Week 2021 Conference -Egypt Textiles & Home Textiles Export Cou...
 
Non operative management of blunt abdominal trauma
Non operative management of blunt abdominal traumaNon operative management of blunt abdominal trauma
Non operative management of blunt abdominal trauma
 
History of critical care center cairo university
History of critical care center cairo universityHistory of critical care center cairo university
History of critical care center cairo university
 
Kemet presentation itex cairo 2021
Kemet presentation itex cairo 2021 Kemet presentation itex cairo 2021
Kemet presentation itex cairo 2021
 
Incorporating printed fabrics in interior decoration and acoustic panels
Incorporating printed fabrics in interior decoration and acoustic panelsIncorporating printed fabrics in interior decoration and acoustic panels
Incorporating printed fabrics in interior decoration and acoustic panels
 
How digital printing is adding value to active wear and athleisure?
How digital printing is adding value to active wear and athleisure?How digital printing is adding value to active wear and athleisure?
How digital printing is adding value to active wear and athleisure?
 

Último

Unit 4 Pharmaceutical Organic Chemisty 3 Quinoline
Unit 4 Pharmaceutical Organic Chemisty 3 QuinolineUnit 4 Pharmaceutical Organic Chemisty 3 Quinoline
Unit 4 Pharmaceutical Organic Chemisty 3 Quinoline
AarishRathnam1
 
Physiologic Anatomy of Heart_AntiCopy.pdf
Physiologic Anatomy of Heart_AntiCopy.pdfPhysiologic Anatomy of Heart_AntiCopy.pdf
Physiologic Anatomy of Heart_AntiCopy.pdf
MedicoseAcademics
 
VIII.1 Nursing Interventions to Promote Healthy Psychological responses, SELF...
VIII.1 Nursing Interventions to Promote Healthy Psychological responses, SELF...VIII.1 Nursing Interventions to Promote Healthy Psychological responses, SELF...
VIII.1 Nursing Interventions to Promote Healthy Psychological responses, SELF...
JRRolfNeuqelet
 
Forensic medicine MCQ for early learners
Forensic medicine MCQ for early learnersForensic medicine MCQ for early learners
Forensic medicine MCQ for early learners
AlaguPandi5
 
Cytoskeleton and Cell Inclusions - Dr Muhammad Ali Rabbani - Medicose Academics
Cytoskeleton and Cell Inclusions - Dr Muhammad Ali Rabbani - Medicose AcademicsCytoskeleton and Cell Inclusions - Dr Muhammad Ali Rabbani - Medicose Academics
Cytoskeleton and Cell Inclusions - Dr Muhammad Ali Rabbani - Medicose Academics
MedicoseAcademics
 
Histology of Epithelium - Dr Muhammad Ali Rabbani - Medicose Academics
Histology of Epithelium - Dr Muhammad Ali Rabbani - Medicose AcademicsHistology of Epithelium - Dr Muhammad Ali Rabbani - Medicose Academics
Histology of Epithelium - Dr Muhammad Ali Rabbani - Medicose Academics
MedicoseAcademics
 

Último (20)

TEST BANK For Porth's Essentials of Pathophysiology, 5th Edition by Tommie L ...
TEST BANK For Porth's Essentials of Pathophysiology, 5th Edition by Tommie L ...TEST BANK For Porth's Essentials of Pathophysiology, 5th Edition by Tommie L ...
TEST BANK For Porth's Essentials of Pathophysiology, 5th Edition by Tommie L ...
 
Unit 4 Pharmaceutical Organic Chemisty 3 Quinoline
Unit 4 Pharmaceutical Organic Chemisty 3 QuinolineUnit 4 Pharmaceutical Organic Chemisty 3 Quinoline
Unit 4 Pharmaceutical Organic Chemisty 3 Quinoline
 
Top 10 Most Beautiful Chinese Pornstars List 2024
Top 10 Most Beautiful Chinese Pornstars List 2024Top 10 Most Beautiful Chinese Pornstars List 2024
Top 10 Most Beautiful Chinese Pornstars List 2024
 
Negative Pressure Wound Therapy in Diabetic Foot Ulcer.pptx
Negative Pressure Wound Therapy in Diabetic Foot Ulcer.pptxNegative Pressure Wound Therapy in Diabetic Foot Ulcer.pptx
Negative Pressure Wound Therapy in Diabetic Foot Ulcer.pptx
 
Physiologic Anatomy of Heart_AntiCopy.pdf
Physiologic Anatomy of Heart_AntiCopy.pdfPhysiologic Anatomy of Heart_AntiCopy.pdf
Physiologic Anatomy of Heart_AntiCopy.pdf
 
VIII.1 Nursing Interventions to Promote Healthy Psychological responses, SELF...
VIII.1 Nursing Interventions to Promote Healthy Psychological responses, SELF...VIII.1 Nursing Interventions to Promote Healthy Psychological responses, SELF...
VIII.1 Nursing Interventions to Promote Healthy Psychological responses, SELF...
 
Forensic medicine MCQ for early learners
Forensic medicine MCQ for early learnersForensic medicine MCQ for early learners
Forensic medicine MCQ for early learners
 
Cytoskeleton and Cell Inclusions - Dr Muhammad Ali Rabbani - Medicose Academics
Cytoskeleton and Cell Inclusions - Dr Muhammad Ali Rabbani - Medicose AcademicsCytoskeleton and Cell Inclusions - Dr Muhammad Ali Rabbani - Medicose Academics
Cytoskeleton and Cell Inclusions - Dr Muhammad Ali Rabbani - Medicose Academics
 
BURNS (CLASSIFICATION & MANAGEMENTS).pdf
BURNS (CLASSIFICATION & MANAGEMENTS).pdfBURNS (CLASSIFICATION & MANAGEMENTS).pdf
BURNS (CLASSIFICATION & MANAGEMENTS).pdf
 
Histology of Epithelium - Dr Muhammad Ali Rabbani - Medicose Academics
Histology of Epithelium - Dr Muhammad Ali Rabbani - Medicose AcademicsHistology of Epithelium - Dr Muhammad Ali Rabbani - Medicose Academics
Histology of Epithelium - Dr Muhammad Ali Rabbani - Medicose Academics
 
SEMESTER-V CHILD HEALTH NURSING-UNIT-1-INTRODUCTION.pdf
SEMESTER-V CHILD HEALTH NURSING-UNIT-1-INTRODUCTION.pdfSEMESTER-V CHILD HEALTH NURSING-UNIT-1-INTRODUCTION.pdf
SEMESTER-V CHILD HEALTH NURSING-UNIT-1-INTRODUCTION.pdf
 
Lachesis Mutus- a Homoeopathic medicinel.pptx
Lachesis Mutus- a Homoeopathic medicinel.pptxLachesis Mutus- a Homoeopathic medicinel.pptx
Lachesis Mutus- a Homoeopathic medicinel.pptx
 
Unveiling Alcohol Withdrawal Syndrome: exploring it's hidden depths
Unveiling Alcohol Withdrawal Syndrome: exploring it's hidden depthsUnveiling Alcohol Withdrawal Syndrome: exploring it's hidden depths
Unveiling Alcohol Withdrawal Syndrome: exploring it's hidden depths
 
Face and Muscles of facial expression.pptx
Face and Muscles of facial expression.pptxFace and Muscles of facial expression.pptx
Face and Muscles of facial expression.pptx
 
JOURNAL CLUB PRESENTATION TEMPLATE DOCUMENT
JOURNAL CLUB PRESENTATION TEMPLATE DOCUMENTJOURNAL CLUB PRESENTATION TEMPLATE DOCUMENT
JOURNAL CLUB PRESENTATION TEMPLATE DOCUMENT
 
Treatment Choices for Slip Disc at Gokuldas Hospital
Treatment Choices for Slip Disc at Gokuldas HospitalTreatment Choices for Slip Disc at Gokuldas Hospital
Treatment Choices for Slip Disc at Gokuldas Hospital
 
Storage of Blood Components- equipments, effects of improper storage, transpo...
Storage of Blood Components- equipments, effects of improper storage, transpo...Storage of Blood Components- equipments, effects of improper storage, transpo...
Storage of Blood Components- equipments, effects of improper storage, transpo...
 
Anti viral drug pharmacology classification
Anti viral drug pharmacology classificationAnti viral drug pharmacology classification
Anti viral drug pharmacology classification
 
spinal cord disorders and paraplegia .
spinal cord disorders  and  paraplegia .spinal cord disorders  and  paraplegia .
spinal cord disorders and paraplegia .
 
Histopathological staining techniques used in liver diseases
Histopathological staining techniques used in liver diseasesHistopathological staining techniques used in liver diseases
Histopathological staining techniques used in liver diseases
 

Critical Care Management of Motor Neuron Disease