CASE REPORT
Year : 2008  |  Volume : 2  |  Issue : 2  |  Page : 67-73

Perioperative care of the child with guillain-barre syndrome


Department of Anesthesiology, Professor of Anesthesiology and Pediatrics, University of Missouri., USA

Correspondence Address:
J D Tobias
Department of Anesthesiology, Professor of Anesthesiology and Pediatrics, University of Missouri, Columbia, MO
USA
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Source of Support: None, Conflict of Interest: None


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The authors present 2 pediatric patients with acute Guillain-Barre syndrome (GBS) who required anesthetic care: one for diagnostic testing and another during a laparoscopic procedure to evaluate a possible intra­abdominal process. Given the multi-system involvement of the disease, several concerns may arise in the perioperative period. Of primary concern is the potential for respiratory failure related either to upper airway control or skeletal muscle weakness. These issues may be made more problematic by aspiration risks and issues of a potential "full stomach" related to autonomic dysfunction and poor gastrointestinal (GI) motility. Autonomic involvement with cardiovascular dysfunction may manifest as abnormalities in the control of heart rate, systemic vascular resistance, and blood pressure. The potential perioperative implications of the disorder are discussed and its pathophysiology presented.


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