INSPIRATORY MUSCLE TRAINING IN INDIVIDUAL WITH GUILLAIN-BARRÉ SYNDROME: CASE REPORT

Abstract

Objective: To report the benefit of inspiratory muscle training in a patient affected by Guillain-Barré syndrome with difficulty in weaning from mechanical ventilation in the ICU of a hospital in the a public hospital of Salvador, Bahia. Case report: Patient previously healthy and independent, admitted to the ICU with a diagnosis of Guillain-Barré syndrome. During hospitalization presented Ventilator-associated pneumonia and underwent early tracheostomy. Initially, the inspiratory muscle strength was -70cmH₂O, however, presented progressive worsening with deterioration of the strength of these muscles, whose value fell to -30cmH₂O within a week. The individual has undergone a respiratory muscle training protocol resistance for tracheostomy patients based on the disconnection of mechanical ventilation for a predetermined time and a time evaluation was performed to analyze the maximum time resisted by the patient without the same presenting signs of fatigue or muscle failure. The training started on 06 June and completed on June 15, with the patient presenting some respiratory distress or hemodynamic changes, and later reconnected to the MV and establishing continuation of the Protocol respecting the pre-set time. The final inspiratory muscle strength was of -60 cmH₂O. For staying more than 72 hours outside the MV, was released from the protocol. Conclusion: We identified improved strength and inspiratory muscle strength with the application of inspiratory muscle training, favoring the process of weaning, minimizing complications associated with MV and reducing the length of stay in ICU.