BiPAP in early guillain-barré syndrome may fail.
Autor(es): Wijdicks Eelco F M,Roy Tuhin K
Resumo: Non-invasive mechanical ventilation (BiPAP) has been introduced for use in neuromuscular respiratory disease such as amyotrophic lateral sclerosis and myasthenia gravis. There is no experience in Guillain-Barré syndrome. We describe for the first time the use of BiPAP to assist in the work of breathing in two consecutive patients with progressing Guillain-Barré syndrome (GBS) and marginal pulmonary function. Our initial attempts to use BiPAP in GBS and early neuromuscular respiratory failure were totally unsuccessful. There was marked initial improvement; however, emergency intubation was needed in both patients, one of which became acutely cyanotic. Until more experience is available, we strongly warn against using BiPAP in deteriorating patients with GBS.
Imprenta: The Canadian Journal of Neurological Sciences. Le Journal Canadien des Sciences Neurologiques, v. 33, n. 1, p. 105-106, 2006
Identificador do objeto digital: 10.1017/S0317167100004790
Descritores: Guillain-Barre Syndrome - Pathogenesis
Data de publicação: 2006
