Update on respiratory management of critically ill neurologic patients.
Respiratory failure complicates a number of acute neurologic conditions, most notably neuromuscular diseases (eg, Guillain-Barré syndrome and myasthenia gravis) and stroke. In addition, pulmonary complications, particularly pneumonia and atelectasis, are fairly common in patients with these diagnoses; their prevention and early recognition are crucial to avoid detrimental consequences. This review discusses recent studies related to predictors of respiratory failure and pneumonia, strategies of respiratory care and ventilatory support, functional prognosis, and withdrawal of mechanical ventilation in patients with acute neuromuscular respiratory failure and stroke.
Rabinstein
Alejandro A
AA
Department of Neurology, University of Miami School of Medicine, 1150 MW 14th street, Suite 304, Miami, FL 33101, USA. arabinstein@med.miami.edu
D016638:Critical Illness / Q000628:therapy*; D020275:Guillain-Barre Syndrome / Q000150:complications; D006801:Humans; D009157:Myasthenia Gravis / Q000150:complications; D012121:Respiration, Artificial / Q000379:methods*; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy*; D020521:Stroke / Q000150:complications