Anesthetic management of a post Guillain-Barre syndrome patient undergoing oncological breast surgery

Abstract

Guillain-Barre syndrome (GBS) is one of the leading causes of non-trauma induced paralysis in the world. We present the anesthetic management of a 43-year-old breast cancer female patient who recently suffered from GBS. The patient had complete motor loss with power of 3/5 in all four limbs and she fully recovered after successful treatment with intravenous immunoglobulin. Keeping in view the nature of surgery and her clinical condition, her breast surgery was planned with para-vertebral block and sedation with target controlled infusion (TCI) plus entropy monitoring. The literature search for the anesthetic management for such type of cases revealed no common agreement regarding management, which prompted us to report this case.

Key words: Breast cancer; Guillain-Barre syndrome; Regional anesthesia; Target controlled infusion; Entropy monitoring

Citation: Rehman A, Mehdi R. Anesthetic management of a post Guillain-Barre syndrome patient undergoing oncological breast surgery. Anaesth. pain intensive care 2021;25(3):532–534. DOI: 10.35975/apic.v25i3.1588

Received: April 16, 2021; Reviewed: April 26, 2021; Accepted: May 14, 2021