Guillain Barré Syndrome (GBS)

  • Guillain-Barre Syndrome is a difficult diagnosis to make and an accurate history and physical examination including reflexes and ambulation of the patient can help to identify this life-threatening diagnosis
  • LP results will reveal a normal opening pressure, elevated protein level with no cells
  • Intubation consideration: remember the 20-30-40 rule and avoid succinylcholine for RSI
  • Management options: IVIG or plasmapheresis should be considered in patients with GBS. They should be monitored closely in the hospital for progression.
  • Steroids have no role in the treatment of GBS.


Emergency Medicine Kenya Foundation