Give or take? Intravenous immunoglobulin or plasma exchange for Guillain-Barré syndrome

Critical Care - Tập 15 - Trang 1-2 - 2011
Richard AC Hughes1
1Cochrane Neuromuscular Disease Group, MRC Centre for Neuromuscular Disease, London, UK

Tóm tắt

A new randomised controlled trial suggested that plasma exchange hastened removal from the ventilator in mechanically ventilated children with Guillain-Barré syndrome compared with intravenous immunoglobulin. Two larger trials in adults showed the opposite result.

Tài liệu tham khảo

El-Bayoumi MA, El-Rafaey AM, Abdulkader AM, El-Assmy MMA, Alwakeel AA, El-Tahan HM: Comparison of intravenous immunoglobulin and plasma exchange in treatment of mechanically ventilated children with Guillain-Barré syndrome: a randomized study. Crit Care. 2011, 15: R164-10.1186/cc10305.

Hughes RA, Swan AV, Raphaël JC, Annane D, van Koningsveld R, van Doorn PA: Immunotherapy for Guillain-Barré syndrome: a systematic review. Brain. 2007, 130: 2245-2257. 10.1093/brain/awm004.

Raphaël JC, Chevret S, Hughes RAC, Annane D: Plasma exchange for Guillain-Barré syndrome (Cochrane review update). Cochrane Database Syst Rev. 2007, CD001798-

Hughes RA, Swan AV, van Doorn PA: Intravenous immunoglobulin for Guillain-Barré syndrome. Cochrane Database Syst Rev. 2010, CD002063-

Plasma Exchange/Sandoglobulin Guillain-Barré Syndrome Trial Group: Randomised trial of plasma exchange, intravenous immunoglobulin, and combined treatments in Guillain-Barré syndrome. Lancet. 1997, 349: 225-230.

van der Meché FGA, Schmitz PIM, Dutch Guillain-Barré Study Group: A randomized trial comparing intravenous immune globulin and plasma exchange in Guillain-Barré syndrome. New Engl J Med. 1992, 326: 1123-1129. 10.1056/NEJM199204233261705.

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Critical Care

Tập 15

1-2

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