January 1, 1975Archives of Neurology

Cardiac Monitoring and Demand Pacemaker in Guillain-Barre Syndrome

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Why the study?

Does a demand pacemaker prevent cardiac arrest in a patient with severe Guillain-Barre syndrome experiencing bradycardia during tracheal aspiration?

Population

A patient with severe Guillain-Barre syndrome requiring tracheostomy and ventilatory assistance (n=1)

Design

Case_report

Authors

PEP. R. Emmons WBWarren T. BlumeWestern University JDJames W. DuShaneUniversity of Southern California

Discussion

Member takes

Implication

May support demand pacing for procedural bradycardia in monitored severe GBS; hypothesis-generating, needs prospective validation.

Structured PICO

Does a demand pacemaker prevent cardiac arrest in a patient with severe Guillain-Barre syndrome experiencing bradycardia during tracheal aspiration?

Population

A patient with severe Guillain-Barre syndrome requiring tracheostomy and ventilatory assistance (n=1)

Intervention

Continuous cardiac monitoring and insertion of a demand pacemaker into the right ventricle (set to activate if rate fell below 65 beats per minute)

Outcome

Prevention of cardiac arrest during bradycardia/idioventricular rhythm provoked by tracheal aspiration

In severe Guillain-Barre syndrome, continuous cardiac monitoring can detect potentially lethal bradyarrhythmias that may be effectively managed with a demand pacemaker.

Cite This Study

Emmons et al. (1975) studied this question.

synapsesocial.com/papers/6a7dd272d491aa75eb15107c https://doi.org/10.1001/archneur.1975.00490430081017

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January 1, 1975Archives of Neurology

Cardiac Monitoring and Demand Pacemaker in Guillain-Barre Syndrome

View Full Paper

Ask AI

Bookmark

Why the study?

Does a demand pacemaker prevent cardiac arrest in a patient with severe Guillain-Barre syndrome experiencing bradycardia during tracheal aspiration?

Population

A patient with severe Guillain-Barre syndrome requiring tracheostomy and ventilatory assistance (n=1)

Design

Case_report

Authors

PEP. R. Emmons WBWarren T. BlumeWestern University JDJames W. DuShaneUniversity of Southern California

Discussion

Member takes

Implication

May support demand pacing for procedural bradycardia in monitored severe GBS; hypothesis-generating, needs prospective validation.

Structured PICO

Does a demand pacemaker prevent cardiac arrest in a patient with severe Guillain-Barre syndrome experiencing bradycardia during tracheal aspiration?

Population

A patient with severe Guillain-Barre syndrome requiring tracheostomy and ventilatory assistance (n=1)

Intervention

Continuous cardiac monitoring and insertion of a demand pacemaker into the right ventricle (set to activate if rate fell below 65 beats per minute)

Outcome

Prevention of cardiac arrest during bradycardia/idioventricular rhythm provoked by tracheal aspiration

In severe Guillain-Barre syndrome, continuous cardiac monitoring can detect potentially lethal bradyarrhythmias that may be effectively managed with a demand pacemaker.

Cite This Study

Emmons et al. (1975) studied this question.

synapsesocial.com/papers/6a7dd272d491aa75eb15107c https://doi.org/10.1001/archneur.1975.00490430081017

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

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