Anaesthetic Management in Guillain Barre Syndrome Posted for Laparoscopic Cholecystectomy: A Case Report

Abstract

Guillain-Barre Syndrome (GBS) is a complicated degenerative neurological disorder which can be acute or chronic in nature. Aetiology remains unclear but pathophysiology includes demyelination of spinal nerve roots. The syndrome affects the nerves that control muscle movement as well as those that transmit pain, temperature and touch sensations resulting in muscle weakness, loss of sensation in the legs and arms, and difficulty in breathing and swallowing. The anaesthetic risk is increased in these patients due to autonomic dysfunction. Here is a case of a 54-year-old female with Guillain-Barre Syndrome (GBS) undergoing laparoscopic cholecystectomy under general anaesthesia with peripheral nerve stimulator monitoring and ultrasound-guided subcostal transverse abdominis plane (TAP) block was given for post-operative pain relief.