Long term intubation and successful weaning in two children with Guillain-Barre Syndrome

Authors

• Hashim Javed, Department of Child Health, Sultan Qaboos University Hospital, Al-Khod 123 Muscat, Sultanate of Oman.
• Madhavachandran P. Nair, Department of Child Health, Sultan Qaboos University Hospital, PO Box 38, Al-Khod 123, Muscat, Sultanate of Oman. Fax: 00968 513630 e-mail: dr_pmc{at}hotmail.com
• Roshan L. Koul, Department of Child Health, Sultan Qaboos University Hospital, Al-Khod 123 Muscat, Sultanate of Oman.
• Alexander Chacko, Department of Child Health, Sultan Qaboos University Hospital, Al-Khod 123 Muscat, Sultanate of Oman.
• Mohammad Fazalullah, Department of Child Health, Sultan Qaboos University Hospital, Al-Khod 123 Muscat, Sultanate of Oman.

Abstract

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.

Article Type

Case Report

First Page

686

Last Page

688

Recommended Citation

Javed, Hashim; Nair, Madhavachandran P.; Koul, Roshan L.; Chacko, Alexander; and Fazalullah, Mohammad (2000) "Long term intubation and successful weaning in two children with Guillain-Barre Syndrome," Saudi Medical Journal: Vol. 21: Iss. 7, Article 16.
DOI: https://doi.org/10.15537/1658-3175.1225