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Respiratory failure in Guillain-Barré syndrome: a 6-year experience.

Authors
  • Gracey, D R
  • McMichan, J C
  • Divertie, M B
  • Howard, F M Jr
Type
Published Article
Journal
Mayo Clinic proceedings
Publication Date
Dec 01, 1982
Volume
57
Issue
12
Pages
742–746
Identifiers
PMID: 7144253
Source
Medline
License
Unknown

Abstract

Seventy-nine patients with acute Guillain-Barré syndrome were seen during a 6-year period. Twenty-one were admitted to a respiratory intensive care unit, where they remained for 58 +/- 26 days (range 14 to 105 days). Thirteen patients required nasotracheal intubation followed by tracheostomy and mechanical ventilation. The tracheostomy tube was in place for an average of 50 +/- 27 days (range 10 to 104 days). Four patients had complications of tracheostomy; two of these were significant, and one of them led directly to the patient's death. There were no complications due to mechanical ventilation, from which 11 patients were successfully weaned after a mean period of 37 +/- 29 days (range 7 to 93 days). Three of the 79 patients (3.8%) died of complications of their disease or its treatment. Respiratory failure in this condition is protracted and its complications are mainly those of prolonged endotracheal intubation with a tracheostomy tube.

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