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British Journal of Anaesthesia, 2003, Vol. 91, No. 6 913-916
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Non-invasive ventilation to avoid tracheal intubation in a patient with Guillain-Barré syndrome

R. M. Pearse*, A. Draper and R. M. Grounds

Intensive Care Unit, St James Wing, St George’s Hospital, Blackshaw Road, London SW17 0QT, UK

*Corresponding author. E-mail: rupert.pearse@doctors.net.uk

A 72-yr-old man presented with respiratory failure secondary to Guillain-Barré syndrome. Although the criteria for mechanical ventilation were satisfied, the absence of weakness of the bulbar muscles allowed the safe use of non-invasive ventilation for 2 weeks in this patient. Invasive ventilation and tracheostomy were avoided and the patient made a good recovery.

Br J Anaesth 2003; 91: 913--16


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