Impact of Vasoactive Medications on ICU-Acquired Weakness in Mechanically Ventilated Patients
journal.chestnet.orgIn mechanically ventilated patients enrolled in a randomized clinical trial of early mobilization, the use of vasoactive medications was independently associated with the development of ICU-acquired weakness.
Prospective trials to further evaluate this relationship are merited. On logistic regression analysis, the use of vasoactive medications increased the odds of developing ICU-acquired weakness independent of all other established risk factors for weakness.
Duration of vasoactive medication use (in days) and cumulative norepinephrine dose (μg/kg/d) were also independently associated with the outcome of ICU-acquired weakness.
This is a secondary analysis of mechanically ventilated patients (N = 172) enrolled in a randomized clinical trial of early occupational and physical therapy vs conventional therapy, which evaluated the end point of ICU-acquired weakness on hospital discharge.