Welcome back to the Internet Booker of Critical Care Podcast. I'm here with Adam Thomas, and we're going to talk about Guillain-Barre syndrome.

And I apologize for the audio today, guys. We're joined by a thorough little Internet Book of Critical Care.

This is my son Jackson, so if you hear little baby gurgles, it's not Josh regressing.

We're just working on our modern parenting. Okay, so Josh, today, Guillain Barret, this weakness

syndrome is very important to have on our radar in ICU. And I have to say we were talking

offline, this can get confusing. Is it upper motor neuron? Is it lower? Is it Bergenstaff? Cephyletis? There's so many

things that are not for us and that's for our neurocolleges. So thank you for simplifying the diagnosis

and then really getting into the treatment. What can we do about these weak patients that are usually

30% requiring ventilation? So let's get straight into the definition in variance.

Yes. So this is confusing. So Guillambry syndrome is used as kind of an umbrella term to refer to a number

of different specific neuropathies, which include acute inflammatory demilelanating polyneuropathy,

various axonal variants in Miller Fisher variants. Josh, you't even, like, it's A-Dip, E-Man, Amson.

Like, that's the best part of Guillain-Giom-Ir-I-Man.

I don't know, man.

The A-Man, it felt sexist to me.

I just, I wasn't digging it.

Oh, I didn't even realize.

Touche.

Touche.

So here, North America, A-Dip's common. How do I need to know about that one? Yeah, so acute inflammatory demyelinating polyneuropathy is going to be about 90% of our patients.

So the vast majority of the patients that we kind of see and think about as having Yombray

syndrome, it involves a demyelination and it's relatively amenable to treatment.

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