Abstract
Hippocrates [1] observed many centuries ago that physicians were unable to differentiate the causes of skeletal muscle weakness, which is well recognized as a complication of acute and chronic illness and may seriously hamper recovery. Recent studies suggest that growth hormone (GH) and insulin like growth factor 1 (IGF-1) may ameliorate some of the catabolic changes seen in the critically ill [2]. This chapter reviews the pathophysiologic basis of skeletal muscle weakness in the critically ill, and will discuss the potential of GH and IGF-1 to act as anabolic agents in this patient group.
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References
Hippocratic Writings, Penguin Books London 1983 p 197
Ross RJM, Miell JP, Buchanan CR (1992) Avoiding autocannibalism. Br Med J 303:1147– 1148
MacFarlane IA, Rosenthal FD 81977) Severe myopathy after status asthmaticus. Lancet 2: 615
Van Marie W, Woods KL (1980) Acute hydrocortisone myopathy. Br Med J 281: 271–272
Knox AJ, Mascie-Taylor BH, Muers MF (1986) Acute hydrocortisone myopathy in acute severe asthma. Thorax 41: 411–412
Roelofs RI, Cerra F, Beilka N, Rosenberg L, Canton OH, Delaney J (1983) Prolonged respiratory insufficiency due to acute motor neuropathy: A new Syndrome? Neurology (Cleveland) 33: 240
Rivner MH, Kim S, Greenberg M, Swift TR (1983) Reversible generalised paresis following hypotension: A new neurological entity. Neurology (Cleveland) 33: 164
Bolton CF, Gilbert JJ, Hahn AF, Sibbald WJ (1984) Polyneuropathy in critically ill patients. J Neurol Neurosurg Psychiatry 47: 1223–1231
Bolton CF, Laverty DA, Brown JD, Witt NJ, Hahn AF, Sibbald WJ (1986) Critically ill poly-neuropathy: Electrophysiological studies and differentiation from Guillain-Barre Syndrome. J Neurol Neurosurg Psychiatry 49: 563–573
Williams AC, Struman S, Kelsey S, Curran FT, Finnegan JA (1986) The neuropathy of the critically ill. Br Med J 293: 790–791
Zochodne DW, Bolton CF, Wells GA, et al. (1987) Critical illness polyneuropathy, a complication of sepsis and multiple organ failure. Brain 110: 819–842
Op de Coul AAW, Lambregts PCLA, Koeman J, van Puyenbroek MJE, Ter Laak HJ, Gabreels-Festen AAWM (1985) Neuromuscular complications in patients given Pavulon (pancuronium bromide) during artifical Ventilation. Clin Neurol Neurosurg 87: 17–22
Coronel B, Mercatello A, Couturier JC, et al. (1990) Polyneuropathy: Potential cause of difficult weaning. Crit Care Med 5: 486–489
Coakley JH, Edwards RHT, McClelland P, Bone JM, Helliwell TR (1990) Occult ischaemic necrosis of sekeltal muscle associated with renal failure. Br Med J 301: 370
Helliwell TR, Coakley JH, Wagenmakers AJM, et al. (1991) Necrotising myopathy in critically ill patients. J Path 164: 307–314
Bywaters EGL, Beall D (1941) Crash injuries and renal function. Br Med J 1: 427–432
Coakley JH, Nagendran K, Ormerod IEC, Gerguson C, Hinds CJ (1992) Prolonged neurogenic weakness in patients requiring mechanical Ventilation for acute airflow limitation. Chest 21: 1413–1416
Witt NJ, Zochodne DW, Bolton CF, et al. (1991) Peripheral nerve function in sepsis and multiple organ failure. Chest 99: 176–184
Coakley JH, Nagendran K, Honavar M, Hinds CJ (1993) Neuromuscular abnormalities in patients requiring intensive care. Int Care Med (in press)
Ross RJM, Buchanan CR (1990) Growth hormone secretion: Its regulation and the influence of nutritional factors. Nutr Res Rev 3: 143–162
Phillips LS, Unterman TG (1984) Somatomedin activity in disorders of nutrition and metabolism. Clin Endocrinol Metab 13: 145–189
Ross RJM, Miell JP, Freeman E et al. (1991) Critically ill patients have high basal growth hormone concentrations with attenuated oscillatory activity associated with low concentrations of insulin like growth factor 1. Clin Endocrinol 35: 47–54
Prudden JF, Pearson E, Soroff HS (1956) Studies on growth hormone: The effect on the nitrogen metabolism of severely burned patients. Surg Gynecol Obstet 102: 695–701
Hammarqvist F, Stromberg C, Decken A, Vinnars E, Werneman J (1992) Biosynthetic human growth hormone preserves both muscle protein synthesis and the decrease in muscle-free glutamine, and improves whole body nitrogen economy after Operation. Ann Surg 216: 184–191
Fleming RYD, Rutan RL, Jahoor F, Barrow RE, Wolfe RR,HerndonDN (1992) Effect of re-combinant human growth hormone on catabolic hormones and free fatty acids following thermal injury. J Trauma 32: 698–703
Herndon DN, Barrow RE, Kunkel KR, Broemeling L, Rutan RL (9190) Effects of recombinant human growth hormone on donor-site healing in severely burned children. Ann Surg 212: 424–429
Jiang ZM, He GZ, Zhang SY, et al. (1989) Low-dose growth hormone and hypocaloric nutrition attenuate the protein-catabolic response after major Operation. Ann Surg 210: 513–524
Jacob R, Barrett E, Plewe G, Fagin KD, Sherwin RS (1989) Acute effects of insulin-like growth factor 1 on glucose and amino-acid metabolism in the awake fasted rat. J Clin Invest 83: 1717–1723
O’Sullivan U, Gluckman PD, Breier BH, Woodall S, Siddiqui RA, McCutcheon SN (1989) In-sulin-like growth factor 1 (IGF-1) in miee reduces weight loss during starvation. Endocrinology 125: 2793–2794
Strock LL, Singh H, Abdullah A, Miller JA, Herndon DN (1990) The effect of insulin-like growth factor 1 on postburn hypermetabolism. Surgery 108: 161–164
Clemmons DR, Smith-Banks A, Underwood LE (1992) Reversal of diet-induced catabolism by infusion of recombinant insulin-like growth factor-1 in humans. J Clin Endoer Metab 75: 234–238
Miell JP, Taylor AM, Jones J, et al (1993) Administration of human recombinant insulin-like growth factor-1 to patients following major gastrointestinal surgery. Clin Endocrinol (in press)
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Coakley, J.H., Yarwood, G.D., Ross, R.J.M. (1993). The Pathophysiology of Neuromuscular Weakness: Potential of Treatment with Growth Factors. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine 1993. Yearbook of Intensive Care and Emergency Medicine 1993, vol 1993. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84904-6_17
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DOI: https://doi.org/10.1007/978-3-642-84904-6_17
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