Anesthetic management of Guillain Barre Syndrome in a pregnant woman

Anesthetic management of Guillain Barre Syndrome in a pregnant woman

Guillain-Barre syndrome (GBS) is an acute demyelinating polyneuropathy with symmetrical weakness characterized by loss of sensation and reflexes. During pregnancy the morbidity and mortality of GBS is high. GBS patients are prone to acute respiratory failure due to weaknes of respiratory muscles, hypotension associated with autonomic dysfunction, hemodynamic instability such as the development of hypertension and arrhythmia. Patients may need intensive care. The anesthetic technique for pregnant women with Guillain-Barre syndrome requiring cesarean section remains at discretion of the anesthesiologist, who should beguided by the clinical conditions and comorbidities of each patient. Therefore, we aimed to present the anesthetic management of cesarean planned in a GBS case.

___

  • Vassiliev DV, Nystrom EU, Leicht CH. Combined spinal epidural anesthesia for labor and cesarean delivery in a patient with Guillain Barre syndrome. Reg Anesth Pain Med 2001;26(2):174-6.
  • Alici HA, Cesur M, Erdem AF, Gursac M. Repeated use of epidural anesthesia for caesarean delivery in a patient with Guillain Barre Syndrome. Int J Obstet Anesth 2005;14(3):269-70.
  • Kocabas S, Karaman S, Firat V, Bademkiran F. Anesthetic management of Guillain Barre Syndrome in pregnancy. J Clin Anesth 2007;19(4):299-302.
  • Brooks H, Christain AS, May AE. Pregnancy, anaesthesia and Guillain Barre Syndrome. Anesthesia 2000;55;(9)894-8.
  • Frölich MA. Obstetric Anesthesia. In:Butterworth JF, Mackey DC, Wasnick JD. Morgan & Mikhail’s Clinical Anesthesiology. 5th edition. United States: The McGraw-Hill Companies; 2013. p.855.
  • Queiroz TN, Bisinotto FM, Silva TM, Martins LB. Anesthesia cesarean section in pregnant woman with Guillain Barre Syndrome: a case report. Rev Bras Anesthesiol 2014;64(5):369-72.
  • Gurbuz S, Guven T, Kamıslı S, Turtay MG, Oguzturk H. Bilateral peripheral facial paralysis in a pregnant patient admitted to emergency service: A case of Guillain-Barre Syndrome. J Turgut Ozal Med Cent 2016;23(1):114-6.
  • McSwain JR, Doty JW, Wilson SH. Regional anesthesia in patients with pre-existing neurologic disease. Curr Opin Anesthesiol 2014;27(5):538-43.
  • Volquind D, Fellini RT, Rose GL, Tarso GP. Anesthesia for cesarean section in a patient with Guillain Barre Syndrome: Case report. Braz J Anesthesiol 2013;63(4):369-71.
  • Vinay B, Sonia B, Bhadrinarayan V. Hyperacute onset of Guillain Barre Syndrome in immediate postpartum period following Caesarean section under spinal anaesthesia. Indian J Anaesth 2015;59(6):391-2.
  • Ozdemir O, Okan MS. Guillain Barre SendromuDerleme. J Curr Pediatr 2005;4:131-35.
  • Cetinkaya K, Al RA, Yapca OE, Ulvi H, Ozel L, Karaca I, Kadanalı S. Guillain Barre Syndrome in pregnancy:a case report.J Turk Soc Obstet Gynecol 2010;7:53-7.
  • Girgin NK. Intensive Care in a patient with Guillain Barre Syndrome. J Turk Soc Intens Care 2007;5:55-60.
İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi-Cover
  • ISSN: 1300-1744
  • Yayın Aralığı: Yılda 4 Sayı
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi