Korean J Anesthesiol.  1987 Apr;20(2):182-190. 10.4097/kjae.1987.20.2.182.

Clinicsl Evaluation of Guillain-Barre Syndrome

• Kim JR
• Park KW
• Koh SO
• Choi HS

• KMID: 1933317
• DOI: http://doi.org/10.4097/kjae.1987.20.2.182

Abstract

The Guillain-Barre syndrome is characterized by Bymmetrical rapidly, ascending paralysis that occasionally leads to respiratory embarrassment and death. We atudied 16 patients diagnosed as Guillain-Barre syndrome admitted to ICU at Severance Hospital from, January 1981 to April 1986. All patients were managed by respirators and 10 cases were tracheostomised. In addition to antibioticts with steroid therapy, rigid or fiheroptic bronchoscopy and plasma exchange were performed. The results were as follows ; 1) The 16 cases consist of 9 males and 7 females. 2) Prodromal symptoms were URI, fever, and gastrointestinal symptoms. 3) Diagnosis was 7ased on clinical symptoms, CSF studios and nerve conduction study. 4) Treatments included airway maintenance with ventilators, trachestomy, antibiotics with steroid therapy, rigid or fiberoptic bronchoscopy and plasma exchange. 5) Pulmonary complications (aspiration pneumonia, pneumoia, atelectasis, laryngeal ede-ma) and cardiovascular complications (hypertension, tachycardia, bradycardia, fever) were observed. However, there was no death in this group. ln conclusion, respiratory care and otter supportive therapy are of prime importance in the management of Guillain-Barre Syndorme.

MeSH Terms

Anti-Bacterial Agents
Bradycardia
Bronchoscopy
Diagnosis
Female
Fever
Guillain-Barre Syndrome*
Humans
Male
Neural Conduction
Otters
Paralysis
Plasma Exchange
Pneumonia
Prodromal Symptoms
Pulmonary Atelectasis
Tachycardia
Ventilators, Mechanical
Anti-Bacterial Agents