Long term intubation and successful weaning in two children with Guillain-Barre syndrome.
No definite criteria exists in Guillian-Barre syndrome in children regarding prolonged ventilation through an endo-tracheal tube without tracheostomy and successful weaning using a T-piece. Here we report two such cases of Guillian-Barre syndrome requiring prolonged intubation for 56 days and ventilation for 30 days and ultimately successfully weaning them using the T-piece. Both the children eventually made a complete recovery, highlighting the point that in children prolonged intubation and ventilation using the portex tube is equally good, if not, better than tracheostomy with its attendant risks.
Javed
H
H
Department of Child Health, Sultan Qaboos University Hospital, Al-Khod 123 Muscat, Sultanate of Oman.
Nair
M P
MP
Koul
R L
RL
Chacko
A
A
Fazalullah
M
M
D002648:Child; D002675:Child, Preschool; D005260:Female; D020275:Guillain-Barre Syndrome / Q000150:complications*; D006801:Humans; D007442:Intubation, Intratracheal; D008297:Male; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy*; D013997:Time Factors; D015300:Ventilator Weaning / Q000295:instrumentation*