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- W4313267243 abstract "Introduction: Guillain Barre Syndrome (GBS) is an immune polyneuropathy that is often complicated with severe neuromuscular weakness and requires prolonged mechanical ventilation. Tracheostomy may be needed in these patients to allow for better oral care, ambulation, and feeding. The timing and predictors of tracheostomy in GBS are not well defined, and protocols vary across units. We describe the characteristics and predictors of tracheostomy in children with GBS. Methods: We did a retrospective chart review of all children with a diagnosis of GBS, < 12 years of age (hospital policy), admitted to the pediatric ICU of a tertiary care referral hospital in North India between 2010 and 2019. Demographic, clinical and laboratory features and intensive care needs were recorded on a predesigned proforma. Results: A total of 189 children admitted to the PICU with a diagnosis of GBS were enrolled. Ninety-nine (52.4%) of them required mechanical ventilation. Forty-seven (24.9%) of these underwent tracheostomy, and the median (IQR) timing of tracheostomy was 18 (15, 23) days. Children needing tracheostomy had a longer mean duration of mechanical ventilation (38.8 vs 7.2 days, p< 0.0001) and PICU stay (44.4 vs 10.4 days, p< 0.0001) as compared to those who did not. On univariate analysis, upper limb power. Conclusions: Tracheostomy is a frequently performed procedure and can be predicted by simple clinical features in children with GBS. Early tracheostomy may be considered in patients with these clinical features to provide better nursing care and early ambulation." @default.
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- W4313267243 date "2022-12-15" @default.
- W4313267243 modified "2023-09-27" @default.
- W4313267243 title "668: CLINICAL FEATURES AND PREDICTORS OF TRACHEOSTOMY IN CHILDREN WITH GUILLAIN-BARRE SYNDROME" @default.
- W4313267243 doi "https://doi.org/10.1097/01.ccm.0000908404.57102.d6" @default.
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