Daily plasma exchange in severe Guillain–Barré syndrome helps in early weaning from ventilator: A lesson from a case
Intravenous immunoglobulin (IVIG) and therapeutic plasma exchange (TPE) are well-known therapeutic modalities in Guillain–Barré syndrome (GBS). In developing countries like India, where plasma-derived products (IVIG) are not easily available, and affordable TPE is preferred. Here, we reported a case...
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2017-01-01
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doaj-6180e16b9c9f4b6aa0d1fcd924659d522020-11-24T21:33:48ZengWolters Kluwer Medknow PublicationsAsian Journal of Transfusion Science0973-62471998-35652017-01-0111220620810.4103/0973-6247.214346Daily plasma exchange in severe Guillain–Barré syndrome helps in early weaning from ventilator: A lesson from a caseArunpreet KaurArchana BajpayeeNitin Kumar BajpaiNikhil KothariIntravenous immunoglobulin (IVIG) and therapeutic plasma exchange (TPE) are well-known therapeutic modalities in Guillain–Barré syndrome (GBS). In developing countries like India, where plasma-derived products (IVIG) are not easily available, and affordable TPE is preferred. Here, we reported a case of severe GBS, who was treated with daily plasma exchange (PLEX) rather than recommended alternate day schedule. A 16-year-old male adolescent of severe GBS, i.e., on mechanical ventilator was treated with the plasmapheresis regimen consisted of removal of 1.3 plasma volumes in each cycle for total of five cycles, on daily basis. The patient's condition started improving after three cycles of TPE with power in the upper limbs 4/5 and lower limbs 3/5 and completely weaned off from ventilator after the 4th TPE, i.e. the 4th day of admission. This case emphasizes the need of daily PLEX regimen particularly in severe GBS patients because early weaning from ventilator reduces the ventilator-associated complications, hospital stay as wells as less morbidity, and mortality in severe GBS.http://www.ajts.org/article.asp?issn=0973-6247;year=2017;volume=11;issue=2;spage=206;epage=208;aulast=KaurMechanical ventilationplasma exchangesevere Guillain–Barré syndromeweaning |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Arunpreet Kaur Archana Bajpayee Nitin Kumar Bajpai Nikhil Kothari |
spellingShingle |
Arunpreet Kaur Archana Bajpayee Nitin Kumar Bajpai Nikhil Kothari Daily plasma exchange in severe Guillain–Barré syndrome helps in early weaning from ventilator: A lesson from a case Asian Journal of Transfusion Science Mechanical ventilation plasma exchange severe Guillain–Barré syndrome weaning |
author_facet |
Arunpreet Kaur Archana Bajpayee Nitin Kumar Bajpai Nikhil Kothari |
author_sort |
Arunpreet Kaur |
title |
Daily plasma exchange in severe Guillain–Barré syndrome helps in early weaning from ventilator: A lesson from a case |
title_short |
Daily plasma exchange in severe Guillain–Barré syndrome helps in early weaning from ventilator: A lesson from a case |
title_full |
Daily plasma exchange in severe Guillain–Barré syndrome helps in early weaning from ventilator: A lesson from a case |
title_fullStr |
Daily plasma exchange in severe Guillain–Barré syndrome helps in early weaning from ventilator: A lesson from a case |
title_full_unstemmed |
Daily plasma exchange in severe Guillain–Barré syndrome helps in early weaning from ventilator: A lesson from a case |
title_sort |
daily plasma exchange in severe guillain–barré syndrome helps in early weaning from ventilator: a lesson from a case |
publisher |
Wolters Kluwer Medknow Publications |
series |
Asian Journal of Transfusion Science |
issn |
0973-6247 1998-3565 |
publishDate |
2017-01-01 |
description |
Intravenous immunoglobulin (IVIG) and therapeutic plasma exchange (TPE) are well-known therapeutic modalities in Guillain–Barré syndrome (GBS). In developing countries like India, where plasma-derived products (IVIG) are not easily available, and affordable TPE is preferred. Here, we reported a case of severe GBS, who was treated with daily plasma exchange (PLEX) rather than recommended alternate day schedule. A 16-year-old male adolescent of severe GBS, i.e., on mechanical ventilator was treated with the plasmapheresis regimen consisted of removal of 1.3 plasma volumes in each cycle for total of five cycles, on daily basis. The patient's condition started improving after three cycles of TPE with power in the upper limbs 4/5 and lower limbs 3/5 and completely weaned off from ventilator after the 4th TPE, i.e. the 4th day of admission. This case emphasizes the need of daily PLEX regimen particularly in severe GBS patients because early weaning from ventilator reduces the ventilator-associated complications, hospital stay as wells as less morbidity, and mortality in severe GBS. |
topic |
Mechanical ventilation plasma exchange severe Guillain–Barré syndrome weaning |
url |
http://www.ajts.org/article.asp?issn=0973-6247;year=2017;volume=11;issue=2;spage=206;epage=208;aulast=Kaur |
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