Document Detail

Pearls and pitfalls in the intensive care management of Guillain-Barré syndrome.
MedLine Citation:
PMID:  11774055     Owner:  NLM     Status:  MEDLINE    
Approximately one third of patients with Guillain-Barré syndrome (GBS) need to be admitted to the intensive care unit (ICU) because of respiratory failure. A significant proportion of patients require ICU admission because of dysautonomia or because of medical or iatrogenic complications. Recognition of the clinical manifestations and the paraclinical findings in patients with neuromuscular respiratory failure is essential to ensure mechanical ventilation promptly. In the ICU, attention to positioning, nutrition, analgesia, and psychological support are crucial. Recognition of autonomic dysfunction and of the rare need for intervention is important to avoid iatrogenic complications. Prognosis determination in GBS is based on the clinical history, epidemiological factors, and neurologic examination.
J A Chalela
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in neurology     Volume:  21     ISSN:  0271-8235     ISO Abbreviation:  Semin Neurol     Publication Date:  2001 Dec 
Date Detail:
Created Date:  2002-01-04     Completed Date:  2002-02-08     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8111343     Medline TA:  Semin Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  399-405     Citation Subset:  IM    
National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland 20892, USA.
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MeSH Terms
Guillain-Barre Syndrome / complications,  therapy*
Intensive Care / methods*
Recovery of Function

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