MECHANICAL VENTILATION IN THE MANAGEMENT OF GUILLAINBARRE SYNDROME IN ICU
AbstractAn early ventilator or respiratory' assistor wasinvented by Janeway1 in 1913. Crafoord-a thoracicsurgeon reported on his “Spiropulsator” along withAnderson2 launching the ventilator for intermittentpositive pressure ventilation (IPPV)in the intensivetherapy unit. Under the guidance of Prof. Macintoshand his department at oxford anaesthetists becameclinicians who best understood the ventilation and sobegan the anaesthetist’s involvement in ICU.Guillaine-Barre syndrome, noted first by Landy in1859 and subsequently by Guillain, Barre and Strohlin 1916, may best be described as an AcuteInflammatory' Polyradiculoneuropathy 3 with aprevalence of approximately. 1.5 per 100,000 ofpopulation. It may affect individuals of any age4. Thedisease is self-limiting, the main life threateningproblem in AIP is acute respiratory- failure resultingfrom respiratory' muscle weakness and may needartificial ventilation.What follows is our experience of mechanicalventilation of two cases of AIP (Guillain- Barresyndrome) in the ICU of SK Institute of MedicalSciences, Srinagar (Kashmir).
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