Anesthetic management for cesarean delivery in a Guillain-Barré syndrome patient

Hyunbin Kim; Junghee Ryu; Hwang, Jung-Won; Do, Sang-Hwan
March 2013
Korean Journal of Anesthesiology;Mar2013, Vol. 64 Issue 3, p268
Academic Journal
Guillain-Barré syndrome is an acute inflammatory demyelinating polyradiculopathy characterized by progressive motor weakness, areflexia, and ascending paralysis. Guillain-Barré syndrome is extremely rare in pregnant patients, and there are no established guidelines for delivery or safest anesthetic methods. We report a Cesarean delivery in the case of a 32-year old woman who was diagnosed with Guillain-Barré syndrome 18 weeks into gestation. Tracheostomy was performed due to progressive respiratory muscle weakness and respiratory failure, and ventilator support was required in the intensive care unit. The respiratory difficulty was exacerbated by the growth of the fetus, necessitating emergency Cesarean delivery. The delivery was successfully performed under general anesthesia, and the patient recovered without neurological sequelae.


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