Journal of Emergency Health Care
Formerly known as: International Journal of Medical Investigation
Volume 12, Issue 2 (7-2023)
J Emerg Health Care 2023, 12(2): 178-184 |
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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
URL: http://intjmi.com/article-1-1018-en.html
Mansoor Deilami 
, Reza Sahraei , Mohammad Sadegh Sanie Jahromi , Majid Vatankhah , Mehrdad Malekshoar , Pourya Adibi , , Elahe Rahmanian , Hasan Zabetian , Tayyebeh Zarei *
, Reza Sahraei , Mohammad Sadegh Sanie Jahromi , Majid Vatankhah , Mehrdad Malekshoar , Pourya Adibi , , Elahe Rahmanian , Hasan Zabetian , Tayyebeh Zarei *
Assistant Professor, Department of Anesthesiology, Anesthesiology, Critical Care and Pain Management Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Abstract: (1505 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.
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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