Role of immunotherapy in the critical care management of GBS

What is the role of immunotherapy in the critical care management of GBS? 

Treatment with either PLEX or IVIG hastens recovery from GBS. The effects of IVIG and PLEX are equivalent.

PLEX is recommended for nonambulant patients within 4 weeks of onset and for ambulant patients within 2 weeks of onset.

IVIG is recommended for patients with GBS who require aid to walk within 2 or 4 weeks from the onset of neuropathic symptoms.

Sequential treatment with PLEX followed by IVIG is not recommended.

What is the role of steroids in the critical care management of GBS? 

Corticosteroids are not recommended for the treatment of patients with GBS.

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