Two success stories in the management of Guillain–Barré syndrome illustrate the challenges of intensive care unit care in Malawi

2020 ◽  
pp. 004947552096275
Author(s):  
Lauren Onofrey ◽  
Claire Naus ◽  
Kiran T Thakur ◽  
Clement Kadyaudzu ◽  
Meghan Prin
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Early Recognition ◽  
Tertiary Hospital ◽  
Guillain Barre Syndrome ◽  
Intensive Care Unit Care ◽  
Low Resource ◽  
Success Stories ◽  
Guillain Barré Syndrome ◽  
Guillain Barré

The management of critical illness is especially challenging in low-resource environments, and early recognition and supportive care are essential, regardless of the ability to employ advanced or invasive therapy. In this report, we discuss two patients with Guillain–Barré syndrome who were managed successfully in the intensive care unit of a tertiary hospital in Malawi. Both patients recovered and were discharged home. The management and outcomes of these patients provide case-based lessons for improving intensive care unit medicine in low-resource contexts.

scholarly journals Guillain-Barre syndrome- Rationale for physiotherapy management of the acute severe patient

1996 ◽  
Vol 52 (4) ◽  
pp. 85-87 ◽  
Author(s):  
Lynn Fearnhead ◽  
Vivian U. Fritz
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Supportive Care ◽  
Clinical Features ◽  
Guillain Barre Syndrome ◽  
Critical Importance ◽  
Guillain Barré Syndrome ◽  
Guillain Barré ◽  
Severe Patient

The critical importance of supportive care including physiotherapy to the acute severe Guillain-Barre patient is emphasised in numerous reports in the literature. However, there are no systematic studies of physiotherapy in Guillain-Barre syndrome (GBS). This article examines the aetiology, pathology, clinical features, prognosis and treatment of GBS with reference to the physiotherapists’ management of the acute severe patient treated in an intensive care unit.

Experiences with Guillain-Barré syndrome in a pediatric intensive care unit

1987 ◽  
Vol 13 (5) ◽  
pp. 328-331 ◽  
Author(s):  
A. P. Bos ◽  
F. G. A. van der Meché ◽  
M. Witsenburg ◽  
E. van der Voort
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Guillain Barre Syndrome ◽  
Guillain Barré Syndrome ◽  
Guillain Barré

scholarly journals Autonomic dysfunction in Guillain-Barré Syndrome: a 13 year experience in pediatric intensive care unit

1996 ◽  
Vol 72 (1) ◽  
pp. 20-26 ◽  
Author(s):  
João Carlos Batista Santana ◽  
Pedro Celiny Ramos Garcia ◽  
Paulo Einloft ◽  
Délio J. Kipper ◽  
Maria Luiza Chiapin ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Autonomic Dysfunction ◽  
Pediatric Intensive Care ◽  
Guillain Barre Syndrome ◽  
Guillain Barré Syndrome ◽  
Guillain Barré

scholarly journals Acute respiratory failure in patients with Guillain‑Barré syndrome and myasthenic crisis treated with plasmapheresis in the intensive care unit

2008 ◽  
Vol 118 (4) ◽  
pp. 239-242
Author(s):  
Wojciech Szczeklik ◽  
Miłosz Jankowski ◽  
Wojciech Węgrzyn ◽  
Wiesław Królikowski ◽  
Grażyna Zwolińska ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Guillain Barre Syndrome ◽  
Myasthenic Crisis ◽  
Guillain Barré Syndrome ◽  
Guillain Barré

scholarly journals Experience with Guillain-Barré syndrome in a neurological Intensive Care Unit

2016 ◽  
Vol 31 (6) ◽  
pp. 389-394 ◽  
Author(s):  
P. González ◽  
X. García ◽  
A. Guerra ◽  
J.C. Arango ◽  
H. Delgado ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Guillain Barre Syndrome ◽  
Neurological Intensive Care Unit ◽  
Neurological Intensive Care ◽  
Guillain Barré Syndrome ◽  
Guillain Barré

scholarly journals Emergency Cesarean Delivery in a Guillain- Barre Syndrome Patient

2016 ◽  
Vol 27 (1) ◽  
pp. 39-42
Author(s):  
Md Abdur Rahman ◽  
Md Mozaffer Hossain ◽  
Subrata Kumar Mondal ◽  
Atiqul Islam ◽  
Mohiuddin Shoman ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
General Anesthesia ◽  
Cesarean Delivery ◽  
Ventilatory Support ◽  
Guillain Barre Syndrome ◽  
Syndrome Patient ◽  
Emergency Cesarean ◽  
Guillain Barré Syndrome ◽  
Guillain Barré

Guillain-Barré syndrome is an acute inflammatory demyelinating polyradiculopathy characterized by progressive motor weaknes, areflexia, and ascending paralysis. Guillain-Barré syndrome is extremely rare in pregnant patients, and there are no established guidelines for delivery or safest anesthetic methods. We report an emergency Cesarean delivery in the case of a 25-year old woman who was diagnosed as Guillain-Barré syndrome at her 26 weeks gestation. Tracheostomy was performed as prolonged ventilatory support was required in the intensive care unit. The respiratory difficulty was exacerbated by the growth of the fetus, necessitating emergency Cesarean delivery. The delivery was successfully performed under general anesthesia, and the patient recovered without neurological sequelae.Journal of Bangladesh Society of Anaesthesiologists 2014; 27(1): 39-42

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