True about critical illness myoneuropathy? (Asked twice in the exam)
Critical illness polyneuropathy (CIP) and critical illness myopathy (CIM) are overlapping syndromes of diffuse, symmetric, flaccid muscle weakness occurring in critically ill patients and involving all extremities and the diaphragm with relative sparing of the cranial nerves. Ref Harrison20th edition pg 2477
Neurological recovery is complete
Sequential nerve demyelination followed by inflammatory myopathy during course of disease
Cranial nerves are involved more commonly than peripherl nerve
Diaphrogmatic atony dure to prolonged intubation may cause it.
C.N.S