Respiratory failure & ventilation

Characteristics of ventilator weaning in patients intubated for Guillain–Barré syndrome or myasthenia gravis: a nationwide multicenter study

Intensive Care MedPublished Retrospective cohort study

Authors' conclusion

Patients with GBS were more likely to experience prolonged weaning and to undergo tracheostomy than patients with MG. More than one-fourth of patients required reintubation after an extubation attempt. Despite prolonged duration of mechanical ventilation, mortality remained relatively low.

Study context

Population
Patients intubated for at least 48 h for Guillain-Barré syndrome (GBS) or myasthenia gravis (MG), 47 ICUs in France, January 2014 to December 2023
Participants
886 patients · 47 ICUs
Exposure
GBS vs MG
  • GBSn = 513
  • MGn = 373reference
Outcome
Proportion of patients with prolonged weaning (at least 7 days)
Methodological detailsmulticentre, nationwide
  • Multicentre
  • Nationwide

Main finding

As reported in the abstract

Prolonged weaning

P < 0.001

Observational data: associations, not effects.

Further findings

Extubation attempt performed

P < 0.001

Reintubation

P = 0.440

Tracheostomy

P < 0.001

Mortality

P = 0.882

Duration of mechanical ventilation and ICU stay

Longer in GBS than MG

Original publication

Characteristics of ventilator weaning in patients intubated for Guillain–Barré syndrome or myasthenia gravis: a nationwide multicenter study. Intensive Care Med. Published 20 October 2025. doi:10.1007/s00134-025-08159-7

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