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Journal of Nutrition and Metabolism
Volume 2017, Article ID 2767232, 5 pages
Research Article

Bedside Ultrasound Measurement of Rectus Femoris: A Tutorial for the Nutrition Support Clinician

1Nutrition Department, Hospital San Ángel Inn Universidad, Ciudad de México, Mexico
2Intensive Care Unit, Hospital San Ángel Inn Universidad, Ciudad de México, Mexico

Correspondence should be addressed to Carlos Alfredo Galindo Martín; moc.liamg@ramlagla.solrac

Received 27 July 2016; Revised 3 February 2017; Accepted 27 February 2017; Published 13 March 2017

Academic Editor: Rémy Meier

Copyright © 2017 Carlos Alfredo Galindo Martín et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Intensive care unit acquired weakness is a long-term consequence after critical illness; it has been related to muscle atrophy and can be considered as one of the main nutritional support challenges at the intensive care unit. Measuring muscle mass by image techniques has become a new area of research for the nutritional support field, extending our knowledge about muscle wasting and the impact of nutritional approaches in the critical care setting, although currently there is no universally accepted technique to perform muscle measurements by ultrasound. Because of this, we present this tutorial for nutrition support clinicians, in order to understand and perform muscle measurements by this reliable, accessible, low-cost, and easy-to-use technique. Reviewing issues such as quadriceps muscle anatomy, correct technique (do’s and don’ts), identification of structures, and measurement of the rectus femoris and vastus intermedius muscles helps to acquire the basic concepts of this technique and encouraging more research in this field.