A 54-year-old man with suspected Guillain-Barré syndrome has progressive ascending weakness and areflexia over 3 days. Vital capacity is 22 mL/kg, and...

Question

A 54-year-old man with suspected Guillain-Barré syndrome has progressive ascending weakness and areflexia over 3 days. Vital capacity is 22 mL/kg, and he is mildly tachypnoeic but oxygenating well. What is the most appropriate management regarding respiratory monitoring?

Accepted Answer

Admit to intensive care or high-dependency unit for close respiratory monitoring and be prepared for intubation

Answer

Discharge with outpatient neurology follow-up

Answer

Admit to general ward without respiratory monitoring

Answer

Start home nocturnal oxygen therapy

Answer

Perform spirometry once daily only

ca-mccqe1 MCQ (SBA): Guillain-Barré syndrome

A 54-year-old man with suspected Guillain-Barré syndrome has progressive ascending weakness and areflexia over 3 days. Vital capacity is 22 mL/kg, and he is mildly tachypnoeic but oxygenating well. What is the most appropriate management regarding respiratory monitoring?