Among 13 prolonged mechanically ventilated GBS

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Among 13 prolonged mechanically ventilated GBS

syndrome after prolonged mechanical ventilation

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canada canada goose goose outlet reviews Jump to comment:Paradoxal increased incidence of post traumatic stress disorder in non mechanically ventilated Guillain Barr canada goose outlet syndrome patients: the role of resilience? canada goose outlet reviews

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canada goose outlet Loc Le Guennec, Intensivist Hpital de la Piti Salptrire 75013 PARISEmmanuel Le Guen, PsychiatristWe read with interest the study presented by Berg et al [1] that showed that prolonged mechanical ventilation (more than 2 months) in Guillain Barre syndrome (GBS) was associated with poorer outcome and more residual deficits compared to non ventilated GBS patients. canada goose outlet

canada goose jacket outlet We recently found very similar results in the same population of patients. Nevertheless, it should be precised that despite this, we could not found any difference in quality of life compared Canada Goose Jackets to the general French population [2]. Berg et al. also Canada Goose Online found buy canada goose jacket that ventilated patients were less likely to have residual fatigue symptoms compared to non ventilated GBS patients, respectively 20% versus 54% (p=0.007). Among 13 prolonged mechanically ventilated GBS, we could show that 22% of patients displayed DSM IV criteria for long term post traumatic stress disorder (PTSD) [2]. Since one of our main hypothesis was that PTSD symptoms were mainly related to the mechanical canada goose store ventilation, we assessed long term PTSD in 20 non ventilated GBS patients (Table). Unexpectedly, 65% of these non ventilated patients had PTSD as compared to 22% in the ventilated group found in our previous study (Table). As for fatigue, we would have expected a correlation between the severity of the disease (especially mechanical ventilation), and the incidence of PTSD. canada goose jacket outlet

canada goose outlet jackets One http://www.canadagoosejacketoutlett.com explanation of these unexpected results could be that the acute stress induced Canada Goose Parka by the temporary uk canada goose outlet paralysis, the traumatic aspects of intubation an. canada goose outlet jackets

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canada goose outlet uk We read with interest the study presented by Berg et al [1] that showed that prolonged mechanical ventilation (more than 2 months) in Guillain Barre syndrome (GBS) was associated with poorer outcome and more residual deficits compared to non ventilated GBS patients. canada goose outlet uk

canada goose outlet toronto factory We recently found very similar results in the same population of patients. Nevertheless, it should be precised that despite this, we Canada Goose Coats On Sale could not found any difference in quality of life compared to the general French population [2]. Berg et al. also found that ventilated patients were less likely to have residual fatigue symptoms compared to non ventilated GBS patients, respectively 20% versus 54% (p=0.007). Among 13 prolonged mechanically ventilated GBS, we could show that 22% of patients displayed DSM IV criteria for long term post traumatic stress disorder (PTSD) [2]. Since one of our main hypothesis was that canada goose uk black friday PTSD symptoms were mainly related to the mechanical ventilation, canadian goose jacket we assessed long term PTSD in 20 non ventilated GBS patients (Table). Unexpectedly, 65% of these non ventilated patients had PTSD as compared to 22% in the ventilated group found in our previous study (Table). As for fatigue, we would have expected a correlation between the severity of the disease (especially mechanical ventilation), and the incidence of PTSD. canada goose outlet toronto factory

canada goose outlet uk sale One explanation of these unexpected results could be that the acute stress induced by the temporary paralysis, the traumatic aspects of intubation and the need for prolonged mechanical ventilation (MV) could promote a stronger resilience process, a mental ability which enables adaption to a stressful event [3], in severe GBS patients compared to milder ones. Nevertheless, to our knowledge, no study has shown that the Canada Goose sale length of stay or cheap Canada Goose the severity of a traumatic event could be associated to higher resilience. In such studies, detailed psychological and psychiatric evaluation focusing on PTSD and resilence processes would be valuable canada goose outlet uk sale.