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Early Mechanical Ventilation for Guillain Barré Syndrome

This study has been completed.
Assistance Publique - Hôpitaux de Paris
Information provided by (Responsible Party):
Djillali Annane, University of Versailles Identifier:
First received: September 10, 2005
Last updated: July 19, 2016
Last verified: July 2016
The purpose of this study is to determine whether early mechanical ventilation can prevent hospital acquired pneumonia in adults with Guillain Barré Syndrome.

Condition Intervention Phase
Guillain Barré Syndrome Acute Respiratory Failure Procedure: mechanical ventilation Procedure: physiotherapy and oxygen if needed Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Efficacy and Safety of Preventive Mechanical Ventilation in Adults With Guillain Barré Syndrome

Resource links provided by NLM:

Further study details as provided by Djillali Annane, University of Versailles:

Primary Outcome Measures:
  • Rate of hospital acquired pneumonia from randomization to study day 90 [ Time Frame: Day 90 ]

Secondary Outcome Measures:
  • Time on a ventilator [ Time Frame: Day 90 ]
  • Intensive care unit lenght of stay [ Time Frame: Day 90 ]
  • Hospital length of stay [ Time Frame: Day 90 ]
  • Tolerance [ Time Frame: Day 90 ]

Enrollment: 50
Study Start Date: April 2005
Study Completion Date: February 2009
Primary Completion Date: January 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: 1
Physiotherapy, oxygen as needed
Procedure: physiotherapy and oxygen if needed
oxygen will be delivered via facial mask whenever needed and physiotherapy
Experimental: 2
Mechanical ventilation
Procedure: mechanical ventilation
Non invasive mechanical ventilation at least 6 hours per day - if difficult swallowing, tracheal intubation and invasive mechanical ventilation

Detailed Description:
Hospital acquired pneumonia is a common and severe complication of Guillain Barré Syndrome. Several factors have been recognized as predictors of respiratory failure in adults with Guillain Barré Syndrome. They include a time from disease onset and patient admission of less seven days, inability to lift head, impaired swallowing and a forced vital capacity of less than 60% of predictive value. We reasonned that early mechanical ventilation may prevent aspiration which is likely the main cause of pneumonia in these patients.

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Guillain Barré Syndrome
  • Age of 18 years old or more
  • Inability to lift head
  • Time from onset of motor deficit less than 7 days
  • Written informed consent

Exclusion Criteria:

  • Glasgow coma score of less than 8
  • Unstable hemodynamic status
  • Current pneumonia
  • Pregnancy
  Contacts and Locations
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Please refer to this study by its identifier: NCT00167622

Raymond Poincaré Hospital
Garches, France, 92380
Sponsors and Collaborators
University of Versailles
Assistance Publique - Hôpitaux de Paris
Study Chair: Djillali annane, MD, PhD Raymond Poincaré Hospital, AP-HP
  More Information

Responsible Party: Djillali Annane, Professor in medicine, University of Versailles Identifier: NCT00167622     History of Changes
Other Study ID Numbers: P050103
Study First Received: September 10, 2005
Last Updated: July 19, 2016

Keywords provided by Djillali Annane, University of Versailles:
Guillain Barré
Mechanical ventilation, invasive
Mechanical ventilation, non invasive

Additional relevant MeSH terms:
Guillain-Barre Syndrome
Respiratory Insufficiency
Respiratory Distress Syndrome, Adult
Pathologic Processes
Respiration Disorders
Respiratory Tract Diseases
Lung Diseases
Autoimmune Diseases of the Nervous System
Nervous System Diseases
Demyelinating Diseases
Peripheral Nervous System Diseases
Neuromuscular Diseases
Autoimmune Diseases
Immune System Diseases processed this record on August 18, 2017