Musculoskeletal Diseases Nervous System Diseases Nutritional, Metabolic, Endocrine Critical care / ICU-acquired weakness Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age = 18 years Invasive mechanical ventilation = 48 hours Expected ICU stay = 72 hours Hemodynamic stability compatible with mobilisation Enteral nutrition feasible
Exclusion criteria
Exclusion criteria: Contraindication to mobilisation Neuromuscular disease affecting baseline strength Severe malnutrition requiring specialized management Pregnancy Expected death within 24 hours Limitation of therapeutic effort
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of ICU-acquired weakness, defined as a Medical Research Council (MRC) sum score <48, assessed at first awakening from sedation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Quadriceps muscle thickness variation (ultrasound) ICU Mobility Scale at discharge FSS-ICU score Ventilator-free days at day 28 Duration of mechanical ventilation ICU length of stay ICU mortality Delirium incidence (CAM-ICU) Safety outcomes (feeding intolerance, metabolic complications, adverse events) | — |
Countries
Tunisia
Contacts
Medical Doctor