Page of

Acutely Progressive Dyspnea and Limb Weakness 

Acutely Progressive Dyspnea and Limb Weakness
Chapter:
Acutely Progressive Dyspnea and Limb Weakness
Source:
Neurocritical Care (2 ed.)
Author(s):

Eelco F. M. Wijdicks

, Alejandro A. Rabinstein

, Sara E. Hocker

, and Jennifer E. Fugate

DOI:
10.1093/med/9780190602659.003.0007

Paradoxical breathing is the most characteristic sign of neuromuscular respiratory failure. How to confidently assess the need for respiratory support in acute neuromuscular disease is difficult. This chapter discusses indications of triage to the intensive care unit, the benefits and risks of noninvasive mechanical ventilation, and indications of intubation in acute neuromuscular disorders such as Guillain-Barré syndrome and myasthenia gravis. Patients with Guillain-Barré syndrome should be intubated electively when they develop their first signs of ventilatory failure. Patients with myasthenic crisis are best treated with noninvasive ventilation if this support is initiated before the development of hypercapnia.

Sign In

Copyright © 2022. All rights reserved.