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Revista Virtual de la Sociedad Paraguaya de Medicina Interna
On-line version ISSN 2312-3893
Abstract
CABANELLAS LOPEZ, Víctor Hugo; MARTINEZ, Víctor Hernán; YUBERO, Roberto Andrés and CESPEDES, Laura. Acute respiratory insufficiency in the Guillain-Barré Syndrome. Rev. virtual Soc. Parag. Med. Int. [online]. 2014, vol.1, n.2, pp.42-53. ISSN 2312-3893. https://doi.org/10.18004/rvspmi/2312-3893/2014.01(02)42-053.
Introduction: Guillain-Barré syndrome (GBS) frequently affects respiratory muscles and thus, patients with this pathology have to be admitted into Intensive Care Unit for monitoring and mechanical respiratory support. Objective: To determine the clinical characteristics and complications of GBS patients admitted into intensive care. Material and methods: Retrospective descriptive observational design that included adult men and women, carriers of GBS, and admitted into the Department of Internal Medicine of the National Hospital between April, 2000 and August, 2013. The need of mechanical respiratory support (MPS), associated complications and outcome are described. Results: Thirty five patients were included, with majority of men (65%). The most frequent triggering events of GBS were respiratory infections (31%) and vaccinations (25%). Acute respiratory insufficiency was seen in 42% of the cases. Ventilator associated pneumonia was the prevailing complication and global mortality was 8.5%.
Keywords : Guillain-Barré; mechanical respiratory support; acute respiratory insufficiency.