2023
DOI: 10.1002/rcr2.1135
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Cardiovascular autonomic dysfunction induced by mechanical insufflation‐exsufflation in Guillain–Barré syndrome

Abstract: Mechanical insufflation‐exsufflation (MI‐E) is an effective airway clearance device for impaired cough associated with respiratory muscle weakness caused by neuromuscular disease. Its complications on the respiratory system, such as pneumothorax, are well‐recognized, but the association of the autonomic nervous system dysfunction with MI‐E has never been reported. We herein describe two cases of Guillain–Barré syndrome with cardiovascular autonomic dysfunction during MI‐E: a 22‐year‐old man who developed trans… Show more

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“…These aforementioned symptoms usually subside with practice or modification of the technique/s ( 28 , 88 , 180 , 181 ). Of greater concern is the potential for significant fluctuations in blood pressure ( 182 , 183 ), bradyarrhythmias or transient asystole ( 182 ), and pneumothorax ( 184 187 ). The incidence of serious side effects is not well quantified, and clinicians recommending LVR therapies should balance the potential for harm with the potential for benefit.…”
Section: Lung Volume Recruitmentmentioning
confidence: 99%
“…These aforementioned symptoms usually subside with practice or modification of the technique/s ( 28 , 88 , 180 , 181 ). Of greater concern is the potential for significant fluctuations in blood pressure ( 182 , 183 ), bradyarrhythmias or transient asystole ( 182 ), and pneumothorax ( 184 187 ). The incidence of serious side effects is not well quantified, and clinicians recommending LVR therapies should balance the potential for harm with the potential for benefit.…”
Section: Lung Volume Recruitmentmentioning
confidence: 99%