110 patients were admitted. Average age 59 ± 17, SCORE MOYEN APACHE II 17 (11-25); 68% male. MMTALLURI and MMJanssen were significantly higher (36.0 ± 9.9 kg and 31.5 ± 7.8 kg) and MMKyle significantly lower (25.2 ± 5.6 kg) than MMCT (29.2 ± 6.7 kg). For all muscle equations derived from BIA, a proportional distortion with increasing discord with higher muscle mass was evident. MMTalluri was most correlated with TDM-derived muscle mass (r-0.834, p < 0.001) and had a good discriminating ability to identify patients with a low skeletal muscle area during a CT scan (ASC: 0.919 in men; 0.912 in women). Among the raw measurements, the phase angles and density of the skeletal muscle are the most correlated (r – 0.701, p < 0.001). The surface and density of skeletal muscle derived from CT was reported in patients with low imk. compared to the normal phase angle, significantly lower. The objective of this study was to examine the compliance of cardiac performance measures as well as the quality of images obtained by medical students in critically ill patients compared to the measurements made by experts in these images. Conclusions: Manual muscle testing (MMT) for critical illness was not possible for most patients due to coma, delirium and/or lesions.
Among patients who were able to participate in tests, we found that the Interobserver agreement was good for iCUAW, especially if they were evaluated after being discharged from the intensive care unit. MMT is not sufficient for early detection of intensive care, neuromuscular dysfunction acquired in most patients and may be unreliable in critical illness. Ultrasound in the acute environment remains a challenge and data on inexperienced CCUS are limited (see additional file 1). In our study, we selected medical students as beginners (i.e. non-experts), because non-experts represent the majority of ultrasound-trained staff in an IC and students would not disrupt daily intensive care. Five studies reported studies of medical students performing CCUS in critically ill patients (3 in ED, 1 in the operating room and 1 in intensive care) [3, 7,8,9,10]. Four of the five studies showed that images could be acquired in 82 to 98% of promising cases.