Increasing numbers of critically ill and injured patients are surviving their initial hospitalization. The immobilization associated with long-term critical care can lead to deterioration of the musculoskeletal system within 6 h of bed rest, and muscle strength can decline by as much as 40% within a week of immobilization. Advances in critical care and mechanical ventilation over the past 2 decades have resulted in the increased survival of patients who are critically ill. Some patients require prolonged mechanical ventilation (PMV).
Two important parameters have to be considered
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