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Volume 12, Issue 2 (7-2023)                   J Emerg Health Care 2023, 12(2): 178-184 | Back to browse issues page

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Deilami M, Sahraei R, Jahromi M S S, Vatankhah M, Malekshoar M, Adibi P, et al . Mechanical Ventilation and Anesthesia Strategies in Patients with Acute Respiratory Failure Due to Guillain-Barré Syndrome. J Emerg Health Care 2023; 12 (2) :178-184
URL: http://intjmi.com/article-1-1018-en.html
Assistant Professor, Department of Anesthesiology, Anesthesiology, Critical Care and Pain Management Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Abstract:   (1443 Views)
Background: This narrative review delves into the nuances of mechanical ventilation and tracheostomy in the context of Guillain-Barré Syndrome (GBS), aiming to provide a comprehensive understanding of the indications, anesthesia management, ventilation settings, and related considerations.
Method: The review was conducted by analyzing relevant literature and studies that address the use of mechanical ventilation and aanesthesiaa in GBS patients
Results: Indications to initiate mechanical ventilation encompass acute respiratory distress/arrest, hypoxia, hypercarbia, and acidosis, failure of non-invasive ventilation. Early Mechanical Ventilation (EMV) might be considered in cases of impaired swallowing. Anesthesia management poses challenges due to altered responses to neuromuscular blocking drugs (NMBDs); while sucssefull general anesthesia cases are reported in literature. While depolarizing agents like succinylcholine are contraindicated, non-depolarizing agents such as rocuronium and vecuronium may be used with caution. The role of sugammadex in reversing NMBDs' effects is explored but not yet fully established. Tracheostomy might be considered for patients requiring prolonged mechanical ventilation.
Conclusion: This narrative review provides information about the multifaceted considerations of mechanical ventilation and anesthesia in GBS.
 
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Type of Study: Research | Subject: General

References
1. 1. Jasti AK, Selmi C, Sarmiento-Monroy JC, Vega DA, Anaya JM, Gershwin ME. Guillain-Barré syndrome: causes, immunopathogenic mechanisms and treatment. Expert review of clinical immunology. 2016 Nov 1;12(11):1175-89. 2. Shahrizaila N, Lehmann HC, Kuwabara S. Guillain-Barré syndrome. The lancet. 2021 Mar 27;397(10280):1214-28. 3. Zifko U, Chen R, Remtulla H, Hahn AF, Koopman W, Bolton CF. Respiratory electrophysiological studies in Guillain-Barre syndrome. Journal of Neurology, Neurosurgery & Psychiatry. 1996 Feb 1;60(2):191-4. 4. Leonhard SE, Mandarakas MR, Gondim FA, Bateman K, Ferreira ML, Cornblath DR, van Doorn PA, Dourado ME, Hughes RA, Islam B, Kusunoki S. Diagnosis and management of Guillain–Barré syndrome in ten steps. Nature Reviews Neurology. 2019 Nov;15(11):671-83. 5. Kuwabara S. Guillain-Barré syndrome: epidemiology, pathophysiology and management. Drugs. 2004 Mar;64:597-610. 6. Rath J, Schober B, Zulehner G, Grisold A, Krenn M, Cetin H, Zimprich F. Nerve conduction studies in Guillain-Barré syndrome: influence of timing and value of repeated measurements. Journal of the Neurological Sciences. 2021 Jan 15;420:117267. 7. Shang P, Feng J, Wu W, Zhang HL. Intensive care and treatment of severe Guillain–Barré syndrome. Frontiers in Pharmacology. 2021 Apr 27;12:608130. 8. Melone MA, Heming N, Meng P, Mompoint D, Aboab J, Clair B, Salomon J, Sharshar T, Orlikowski D, Chevret S, Annane D. Early mechanical ventilation in patients with Guillain-Barré syndrome at high risk of respiratory failure: a randomized trial. Annals of intensive care. 2020 Dec;10(1):1-9. 9. Ali MI, Fernández-Pérez ER, Pendem S, Brown DR, Wijdicks EF, Gajic O. Mechanical ventilation in patients with Guillain-Barré syndrome. Respiratory care. 2006 Dec 1;51(12):1403-7. 10. Ropper AH, Kehne SM. Guillain‐Barré syndrome: Management of respiratory failure. Neurology. 1985 Nov 1;35(11):1662-. 11. Wijdicks EF, Henderson RD, McClelland RL. Emergency intubation for respiratory failure in Guillain-Barré syndrome. Archives of neurology. 2003 Jul 1;60(7):947-8. 12. Shang P, Zhu M, Baker M, Feng J, Zhou C, Zhang HL. Mechanical ventilation in Guillain–Barré syndrome. Expert review of clinical immunology. 2020 Nov 1;16(11):1053-64. 13. Orlikowski D, Prigent H, Sharshar T, Lofaso F, Raphael JC. Respiratory dysfunction in Guillain-Barré syndrome. Neurocritical care. 2004 Dec;1:415-22. 14. Kalita J, Kumar M, Misra UK. Serial single breath count is a reliable tool for monitoring respiratory functions in Guillain-Barré Syndrome. Journal of Clinical Neuroscience. 2020 Feb 1;72:50-6. 15. Pearse RM, Draper A, Grounds RM. Non‐invasive ventilation to avoid tracheal intubation in a patient with Guillain‐Barré syndrome. British journal of anaesthesia. 2003 Dec 1;91(6):913-6. 16. Ali MI, Fernández-Pérez ER, Pendem S, Brown DR, Wijdicks EF, Gajic O. Mechanical ventilation in patients with Guillain-Barré syndrome. Respiratory care. 2006 Dec 1;51(12):1403-7. 17. Cook D, Simons DJ. Neuromuscular blockade. InStatPearls [Internet] 2022 Sep 24. StatPearls Publishing. 18. Raja W, Waheed S. Cardiac arrest after succinylcholine administration in a patient recovering from Guillain-Barre syndrome. Journal of the College of Physicians and Surgeons Pakistan. 2014 Oct 1;24(10):778-9. 19. Feldman JM. Cardiac arrest after succinylcholine administration in a pregnant patient recovered from Guillain-Barré syndrome. Anesthesiology. 1990 May 1;72(5):942-4. 20. Tezcan B, Bölükbaşi D, Kazanci D, Turan S, Suer Kaya G, Özgök A. The Use of Sugammadex in a Patient With Guillain–Barre Syndrome: A Case Report. A & A case reports. 2017 Apr 15;8(8):200-2. 21. Kim H, Ryu J, Hwang JW, Do SH. Anesthetic management for cesarean delivery in a Guillain-Barré syndrome patient-A case report. Korean journal of anesthesiology. 2013 Mar 19;64(3):268-71. 22. Shivaraj SP, Sharashchandra KV. Anaesthetic Management of a Patient with Gullain Barre Syndrome Posted for Emergency Caesarean Section: A Case Report. Journal of Medical Sciences. 2022 Sep;8(3):283. 23. Khatri A, Pearlstein L. Pain in Guillain-Barré syndrome. Neurology. 1997 Nov 1;49(5):1474-. 24. Peña L, Moreno CB, Gutierrez-Alvarez AM. Pain management in Guillain–Barre syndrome: a systematic review. Neurología (English Edition). 2015 Sep 1;30(7):433-8. 25. Walgaard C, Lingsma HF, van Doorn PA, van der Jagt M, Steyerberg EW, Jacobs BC. Tracheostomy or not: prediction of prolonged mechanical ventilation in Guillain–Barré syndrome. Neurocritical Care. 2017 Feb;26:6-13. 26. Lawn ND, Wijdicks EF. Tracheostomy in Guillain‐Barré syndrome. Muscle & Nerve: Official Journal of the American Association of Electrodiagnostic Medicine. 1999 Aug;22(8):1058-62. 27. Miyamoto M, Imataka G, Ichikawa G, Saito Y, Kashiwagi T, Kaji Y, Wake K, Funakoshi K, Nagashima T, Kokubun N, Yoshihara S. Successful treatment of a 12 year old boy with Guillain Barré syndrome requiring tracheostomy due to respiratory muscle paralysis: A case report. Experimental and Therapeutic Medicine. 2020 Feb 1;19(2):1091-4. 28. Yonezawa N, Jo T, Matsui H, Fushimi K, Yasunaga H. Effect of Early Tracheostomy on Mortality of Mechanically Ventilated Patients with Guillain–Barré Syndrome: A Nationwide Observational Study. Neurocritical Care. 2020 Dec;33:759-68.

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