Guillain Barre syndrome (GBS): predictors of ventilation
Evidence-based neurology checklist on guillain barre syndrome (gbs): predictors of ventilation: Clinical indications Older age Weak cough Bilateral facial weakness Bulbar dysfunction Neck flexion weakness Generalised severe weakness Cranial nerve involvement Rapidly progressive course Associated…
Clinical indications
- Older age
- Weak cough
- Bilateral facial weakness
- Bulbar dysfunction
- Neck flexion weakness
- Generalised severe weakness
- Cranial nerve involvement
- Rapidly progressive course
- Associated dysautonomia
- Underlying pulmonary disease
- Cardiovascular co-morbidities
- Poor values on scoring scales: EGRIS and MRC sum scores
Laboratory indications
The 20-40-30 rule indication
Acronyms
References
- Fish M, Llewelyn G. The Guillain-Barre syndrome. ACNR 2008; 8:10-12.
- Walgaard, C, Lingsma, HF, Ruts, L et al. Prediction of respiratory insufficiency in Guillain-Barré syndrome. Ann Neurol 2010; 67:781–787.
- Oshima Y, Mitsui T, Yoshino H, et al. Central motor conduction in patients with anti-ganglioside antibody associated neuropathy syndromes and hyperreflexia. JNNP 2002; 73:568-573.
- Asbury AK, Cornblath DR. Assessment of current diagnostic criteria for Guillain-Barre syndrome. Ann Neurol 1990; 27(Suppl):S21-S24.
- Lawn ND, Fletcher DD, Henderson RD, Wolter TD, Wijdicks EF. Anticipating mechanical ventilation in Guillain-Barre syndrome. Arch Neurol 2001; 58:893-898.
