From:  Paraplegia in the emergency room: spinal cord compression and Guillain-Barré syndrome—a 2025 scoping review from a multidisciplinary emergency perspective

 Medical and nursing management of Guillain-Barré syndrome (GBS), which can broadly be categorized as primary disease and supportive treatments [1, 3, 5, 6].

Medical managementNursing management
  • Intravenous immunoglobulin (IVIG): blocks harmful autoantibodies

  • Plasmapheresis: removes circulating antibodies

  • Respiratory monitoring and ventilatory support if necessary

  • Autonomic dysfunction management (e.g., arrhythmias, blood pressure instability)

  • Anticoagulation to prevent deep vein thrombosis

  • Give orders to arrange physical therapy for mobility and strength maintenance

  • Monitor respiratory status and ensure airway patency

  • Provide adequate nutrition (oral, enteral, or parenteral)*

  • Prevent pressure ulcers through frequent repositioning*

  • Support psychological well-being through education and counseling

  • Assist with mobility aids such as wheelchairs and braces*

  • Encourage and assist with activities of daily living during rehabilitation*

* indicates supportive care, which is the primary responsibility of the nurses.