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Electrical muscle stimulation preserves the muscle mass of critically ill patients a randomized study.doc

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Electrical muscle stimulation preserves the muscle mass of critically ill patients a randomized study

Available online /content/13/5/R161 Research Open Access Vol 13 No 5 Electrical muscle stimulation preserves the muscle mass of critically ill patients: a randomized study Vasiliki Gerovasili1, Konstantinos Stefanidis1, Konstantinos Vitzilaios1, Eleftherios Karatzanos1, Panagiotis Politis1, Apostolos Koroneos1, Aikaterini Chatzimichail2, Christina Routsi1, Charis Roussos1 and Serafim Nanas1 1First Critical Care Department, Evangelismos Hospital, National and Kapodistrian University of Athens, 45-47 Ypsilantou Str., 106 75, Athens, Greece 2Second Department of Radiology, Attiko Hospital, National and Kapodistrian University of Athens, 1 Rimini Str.,12462, Athens, Greece Corresponding author: Serafim Nanas, snanas@cc.uoa.gr Received: 26 Apr 2009 Revisions requested: 5 Jun 2009 Revisions received: 22 Sep 2009 Accepted: 8 Oct 2009 Published: 8 Oct 2009 Critical Care 2009, 13:R161 (doi:10.1186/cc8123) This article is online at: /content/13/5/R161 ? 2009 Gerovasili et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Introduction Critically ill patients are characterized by increased loss of muscle mass, partially attributed to sepsis and multiple organ failure, as well as immobilization. Recent studies have shown that electrical muscle stimulation (EMS) may be an alternative to active exercise in chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF) patients with myopathy. The aim of our study was to investigate the EMS effects on muscle mass preservation of critically ill patients with the use of ultrasonography (US). Results Twenty-six patients were finally evaluated. Right rectus femoris and right vastus intermedius CSD decreased in both groups (EMS group: from 1.42 ±