PLASMAPHERESIS IN PATIENT WITH GUILLAIN-BARRE SYNDROME OF THE INTENSIVE CARE UNIT

Authors

  • Vicky Muhammad Ramdhani Faculty of Medicine Universitas Padjadjaran Dr. Hasan Sadikin General Hospital
  • K Suwarman Faculty of Medicine Universitas Padjadjaran Dr. Hasan Sadikin General Hospital
  • Reza Widianto Sudjud Faculty of Medicine Universitas Padjadjaran Dr. Hasan Sadikin General Hospital
  • Erwin Pradian Faculty of Medicine Universitas Padjadjaran Dr. Hasan Sadikin General Hospital

DOI:

https://doi.org/10.47604/jhmn.1165

Keywords:

Guillain-Barre Syndrome, Intensive Care, Plasmapheresis

Abstract

Purpose: The purpose of writing this case report is to determine the importance of patient treatment using appropriate and specific therapies and the use of mechanical ventilation in the threat of respiratory failure of patients with GBS.

Methodology: We presented a case of 47 years old man with chief complaint of weakness in both upper and lower extremities. The patient was diagnosed with GBS and plasmapheresis was performed.

Findings: Holistic intensive care together with plasmapheresis has been shown to improve the survival of patients with GBS. In the current study, the patient was admitted for 1 day in HCU before he experienced difficulty in breathing, was intubated, and transferred to ICU. Plasmapheresis was performed six times in the ICU. The patient progressively improved until he was discharged to the HCU on 10th day of ICU admission.

Unique contribution to theory, practice, and policy: Holistic intensive care together with plasmapheresis has been shown to improve the survival of patients with GBS. From the current study, we recommend healthcare practitioners to perform either IVIG therapy or plasmapheresis for GBS patient

Downloads

Download data is not yet available.

Author Biographies

Vicky Muhammad Ramdhani, Faculty of Medicine Universitas Padjadjaran Dr. Hasan Sadikin General Hospital

Fellowship Intensive Care

K Suwarman, Faculty of Medicine Universitas Padjadjaran Dr. Hasan Sadikin General Hospital

Lecturer

Reza Widianto Sudjud, Faculty of Medicine Universitas Padjadjaran Dr. Hasan Sadikin General Hospital

Lecturer

Erwin Pradian, Faculty of Medicine Universitas Padjadjaran Dr. Hasan Sadikin General Hospital

Lecturer

References

1. Mishra, A., Tiwari, K.K. & Gudi, S.K. (2017). Guillain-barre syndrome (GBS). An Orphan Disease. World J Pharmaceutical, 6(5), 393-400
2. Verboon, C., van Doorn, P. A., & Jacobs, B. C. (2017). Treatment dilemmas in Guillain-Barr syndrome. Journal of Neurology, Neurosurgery & Psychiatry, 88(4), 346-352.
3. Bhagat, H., Dash, H. H., Chauhan, R. S., Khanna, P., & Bithal, P. K. (2014). Intensive care management of Guillain-Barre syndrome: a retrospective outcome study and review of literature. Journal of Neuroanaesthesiology and Critical Care, 1(03), 188-197.
4. Kishore, C.K., Vijayabhaskar, J., Vardhan, R. V., Sainaresh, V.V., Siramnaveen, P., Sridhar, A.V.S.S.N., "¦ & Kumar, S. (2014). Management of FUillan-Barre syndrome with plasmapheresis or immunoglobulin: our experience from a tertiary care institute in South India. Renal Failure, 36(5), 732-736.
5. McGrogan, A., Madle, G. C., Seaman, H. E., & De Vries, C. S. (2009). The epidemiology of Guillain-Barr syndrome worldwide. Neuroepidemiology, 32(2), 150-163.
6. González, P., García, X., Guerra, A., Arango, J. C., Delgado, H., Uribe, C. S., ... & Hernández, O. (2016). Experience with Guillain-Barr syndrome in a neurological intensive care unit. Neurología (English Edition), 31(6), 389-394.
7. Joshi, K., Patel, M., Gupta, R. & Bajaj, N. (2016) Guillain-barre syndrome: a case report. Int J Med Sci Public Health, 5,1295-1296.
8. Dharmayanti, A., & Astrawinata, D. (2017). Ventilator-Associated Pneumonia (VAP) in a Patient with Guillain-Barre Syndrome. Acta Medica Indonesiana, 49(2), 151-157.
9. Meena, A. K., Khadilkar, S. V., & Murthy, J. M. K. (2011). Treatment guidelines for Guillain-Barr syndrome. Annals of Indian Academy of Neurology, 14(Suppl1), S73.
10. Van Doorn, P. A., Ruts, L., & Jacobs, B. C. (2008). Clinical features, pathogenesis, and treatment of Guillain-Barr syndrome. The Lancet Neurology, 7(10), 939-950.
11. Fridey, J.L. (2017) Therapeutic apheresis (Plasma exchange or cytapheresis): indcation and technology. JA Silvergleid eds.

Downloads

Published

2020-11-06

How to Cite

Ramdhani, V. M., Suwarman, K., Sudjud, R. W., & Pradian, E. (2020). PLASMAPHERESIS IN PATIENT WITH GUILLAIN-BARRE SYNDROME OF THE INTENSIVE CARE UNIT. Journal of Health, Medicine and Nursing, 5(5), 13 – 24. https://doi.org/10.47604/jhmn.1165

Issue

Section

Articles