Bundles do combate à fraqueza adquirida na unidade de terapia intensiva

Abstract

Intensive care unit acquired weakness (ICUAW) is frequent in survivors of critical illness. ICUAW is multifactorial clinical condition that is associated with loss of muscle mass and functionality. The loss of muscle mass in some diseases can be up to 1 kg per day because of intense catabolism, which can prolong the rehabilitation time of these patients by up to 5 years. The purpose of this article is to fight against ICUAW, mainly regarding modifiable factors such as: optimization of medical nutritional therapy, better metabolic and glycemic control, early mobilization, early ventilatory weaning, rational use of medication, evaluation of functionality and nutritional risk, periodic monitoring of nutritional status, metabolic and clinical condition, muscle mass assessment of all patients. To facilitate the recognition of these factors, a mnemonic was elaborated using the word FRAQUEZA.