Critical illness polyneuropathy (peripheral)

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ICD10 Diagnosis
Dx: Critical illness polyneuropathy (peripheral)
ICD10 code: G62.81
Pre-ICD10 counterpart: Peripheral Neuropathy
Charlson/ALERT Scale: none
APACHE Como Component: none
APACHE Acute Component: none
Start Date:
Stop Date:
External ICD10 Documentation

This diagnosis is a part of ICD10 collection.

  • SMW
    • 2019-01-01
    • 2999-12-31
    • G62.81
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  • SMW
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Additional Info

  • This is a (semi) specific entity with sensory-motor polyneuropathy seen in the setting of critical illness. It's presentation can lean more heavily (or solely) as sensory nerves or motor nerves or both. The most common critical illness is sepsis/septic shock, but can be seen in a wide variety of critical illnesses. It's believed to be the peripheral nervous system version of multi-organ dysfunction syndrom (MODS), and due to circulating, soluble inflammatory mediators.
  • There is no specific delineation of which critical illness is involved, nor how BAD that illness has to be. Usually the diagnosis is made in the presence of a sensory-motor polyneuropathy in someone with critical illness of any type, where there is no other recognized cause of the polyneuropathy.

Guidelines for Acquired neuromuscular weakness

  • Many acutely ill (especially critically ill) patients develop/acquire weakness while in hospital
  • But, there are a variety of different causes of such weakness, including related to problems with nerves (neuropathies) and muscles (myopathies). While there are some ways to distinguish among these (e.g. use of EMG/NCV testing) this is almost never done because other than avoidance, there are no real treatments for any of these, i.e. they're all treated with rehabilitation.

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