Capacity of the thickness of the adductor pollicis muscle in predicting the nutritional risk of hospitalized patients

2018 ◽  
Vol 3 ◽  
Keyword(s):  
Adductor Pollicis ◽  
Hospitalized Patients ◽  
Nutritional Risk ◽  
Adductor Pollicis Muscle

scholarly journals Thickness of the adductor pollicis muscle in nutritional assessment of surgical patients

2016 ◽  
Vol 14 (1) ◽  
pp. 18-24 ◽  
Author(s):  
Katarina Papera Valente ◽  
Naira Marceli Fraga Silva ◽  
Amanda Barcelos Faioli ◽  
Marina Abelha Barreto ◽  
Rafael Araújo Guedes de Moraes ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Global Assessment ◽  
Nutritional Assessment ◽  
Adductor Pollicis ◽  
University Hospital ◽  
Nutritional Risk ◽  
Surgical Patients ◽  
Subjective Global Assessment ◽  
Adductor Pollicis Muscle

ABSTRACT Objective To evaluate the correlation between thickness of the muscle adductor pollicis and anthropometric measurements, body mass index and Subjective Global Assessment in the nutritional assessment of surgical patients. Methods The study population comprised patients admitted to the general and reconstructive surgery unit of a university hospital in the city of Vitória (ES), Brazil. The inclusion criteria were patients evaluated in the first 48 hours of admission, aged ≥20 years, hemodynamically stable, with no edema or ascites. Data analysis was performed using the software Statistical Package for Social Science 21.0, significance level of 5%. Results The sample consisted of 150 patients that were candidates to surgery, mean age of 42.7±12.0 years. The most common reasons for hospitalization were surgical procedures, gastrintestinal diseases and neoplasm. Significant association was observed between thickness of adductor pollicis muscle and Subjective Global Assessment (p=0.021) and body mass index (p=0.008) for nutritional risk. Significant correlation was found between thickness of adductor pollicis muscle and arm muscle circumference, corrected arm muscle area, calf circumference and body mass index. There were no significant correlations between thickness of adductor pollicis muscle and triceps skinfold and age. Conclusion The use of thickness of adductor pollicis muscle proved to be an efficient method to detect malnutrition in surgical patients and it should be added to the screening process of hospitalized patients, since it is easy to perform, inexpensive and noninvasive.

Slower fatigue and faster recovery of the adductor pollicis muscle in women matched for strength with men

1999 ◽  
Vol 167 (3) ◽  
pp. 233-239 ◽  
Author(s):  
Fulco ◽  
Rock ◽  
Muza ◽  
Lammi ◽  
Cymerman ◽  
...  
Keyword(s):  
Adductor Pollicis ◽  
Adductor Pollicis Muscle

scholarly journals ADDUCTOR POLLICIS MUSCLE THICKNESS AND PREDICTION OF POSTOPERATIVE MORTALITY IN PATIENTS WITH STOMACH CANCER

2018 ◽  
Vol 31 (1) ◽  
Author(s):  
Aline Kirjner POZIOMYCK ◽  
Oly Campos CORLETA ◽  
Leandro Totti CAVAZZOLA ◽  
Antonio Carlos WESTON ◽  
Edson Braga LAMEU ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Stomach Cancer ◽  
Nutritional Assessment ◽  
Postoperative Mortality ◽  
Muscle Thickness ◽  
Adductor Pollicis ◽  
Dominant Hand ◽  
Adductor Pollicis Muscle ◽  
Risk Of Death ◽  
Muscle Compartment

ABSTRACT Background: Malnutrition is very prevalent in patients with gastric cancer and increases the risk of morbidity and mortality. Adductor pollicis muscle thickness (APMT) appears as an important objective, quick, inexpensive and noninvasive measure to assess the muscle compartment Aim: To compare APMT and other nutritional assessment methods and to correlate these methods with postoperative mortality Methods: Forty-four patients, 29 men and 15 women, mean age of 63±10.2 and ranging from 34-83 years, who underwent nine (20.5%) partial and 34 (77.3%) total gastrectomies due to stomach cancer (stage II to IIIa) were preoperatively assessed by Patient Generated Subjective Global Assessment (PG-SGA), anthropometry and laboratorial profile Results: APMT better predicted death (p<0.001) on both, dominant and non-dominant hand, and well correlated with albumin (p=0.039) and PG-SGA (p=0.007) Conclusion: APMT clearly allowed to determine malnutrition and to predict risk of death in patients with gastric cancer.

Effects of an Intubating Dose of Succinylcholine and Rocuronium on the Larynx and Diaphragm 

1999 ◽  
Vol 90 (4) ◽  
pp. 951-955 ◽  
Author(s):  
Gilles Dhonneur ◽  
Krassen Kirov ◽  
Velislav Slavov ◽  
Philippe Duvaldestin
Keyword(s):  
Elective Surgery ◽  
Onset Time ◽  
Neuromuscular Blocking ◽  
Blocking Effect ◽  
Muscle Relaxants ◽  
Adductor Pollicis ◽  
Maximum Effect ◽  
Adductor Pollicis Muscle ◽  
Adductor Muscles ◽  
Before And After

Background Paralysis of the vocal cords is one objective of using relaxants to facilitate tracheal intubation. This study compares the neuromuscular blocking effect of succinylcholine and rocuronium on the larynx, the diaphragm, and the adductor pollicis muscle. Methods Electromyographic response was used to compare the neuromuscular blocking effect of succinylcholine and rocuronium on the laryngeal adductor muscles, the diaphragm, and the adductor pollicis muscle. Sixteen patients undergoing elective surgery were anesthetized with propofol and fentanyl, and their tracheas were intubated without neuromuscular blocking agents. The recurrent laryngeal and phrenic nerves were stimulated at the neck. The electromyographic response was recorded from electrodes placed on the endotracheal tube and intercostally before and after administration of 1 mg/kg succinylcholine or 0.6 mg/kg rocuronium. Results The maximum effect was greater at the adductor pollicis (100 and 99%) than at the larynx (96 and 97%) and the diaphragm (94 and 96%) after administration of succinylcholine and rocuronium, respectively (P &lt; or = 0.05). Onset time was not different between the larynx (58+/-10 s), the diaphragm (57+/-8 s), and the adductor pollicis (54+/-13 s), after succinylcholine (all mean +/- SD). After rocuronium, onset time was 124+/-39 s at the larynx, 130+/-44 s at the diaphragm, and 115+/-21 s at the adductor pollicis. After succinylcholine administration, time to 90% recovery was 8.3+/-3.2, 7.2+/-3.5, and 9.1+/-3.0 min at the larynx, the diaphragm, and the adductor pollicis, respectively. Time to 90% recovery after rocuronium administration was 34.9+/-7.6, 30.4+/-4.2, and 49.1+/-11.4 min at the larynx, the diaphragm, and the adductor pollicis, respectively. Conclusion Neuromuscular blocking effect of muscle relaxants on the larynx can be measured noninvasively by electromyography. Although the larynx appears to be resistant to muscle relaxants, we could not demonstrate that its onset time differed from that of peripheral muscles.

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