MECHANICAL VENTILATION IN THE MANAGEMENT OF GUILLAINBARRE SYNDROME IN ICU
Abstract
An early ventilator or respiratory' assistor wasinvented by Janeway1 in 1913. Crafoord-a thoracic
surgeon reported on his Spiropulsator along with
Anderson2 launching the ventilator for intermittent
positive pressure ventilation (IPPV)in the intensive
therapy unit. Under the guidance of Prof. Macintosh
and his department at oxford anaesthetists became
clinicians who best understood the ventilation and so
began the anaesthetist's involvement in ICU.
Guillaine-Barre syndrome, noted first by Landy in
1859 and subsequently by Guillain, Barre and Strohl
in 1916, may best be described as an Acute
Inflammatory' Polyradiculoneuropathy 3 with a
prevalence of approximately. 1.5 per 100,000 of
population. It may affect individuals of any age4. The
disease is self-limiting, the main life threatening
problem in AIP is acute respiratory- failure resulting
from respiratory' muscle weakness and may need
artificial ventilation.
What follows is our experience of mechanical
ventilation of two cases of AIP (Guillain- Barre
syndrome) in the ICU of SK Institute of Medical
Sciences, Srinagar (Kashmir).
References
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Anaesth. 1986,58: 190-20
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