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A commonly cited rule for GBS patients is the 20-30-40 Rule: intubation is indicated if the FVC falls below 20 ml/kg, the MIP is less than 30 cm water, or the MEP is less than 40 cm water. This is a myth.
20 Σεπ 2019 · Clinicians should consider using the ‘20/30/40 rule’, whereby the patient is deemed at risk of respiratory failure if the vital capacity is <20 ml/kg, the maximum inspiratory pressure is...
1 Ιουλ 2023 · A “20/30/40” rule referring to vital capacity < 20 mL/kg, maximal inspiratory pressure < 30 cmH 2 O, or maximal expiratory pressure < 40 cmH 2 O may also be cited regarding prediction of respiratory failure and warranting ICU admission [7], [9].
1 Μαΐ 2019 · The major problem in evaluating the respiratory function of a patient with GBS is that the standard approach assesses almost predominantly muscle weakness. The “20/30/40 rule” is a classic assessment tool for making a decision on trachea intubation and the commencement of MV .
1 Μαρ 2017 · A vital capacity decrease to 20 mL/kg, MIP decrease to −30 cm H 2 O, and MEP decrease to 40 cm H 2 O (the “20-30-40 rule”) are critical values warranting intubation.
These were as follows; VC less than 20 mL/kg, PImax less than 30 cm H 2 0, and PEmax of less than 40 cm H 2 0. The use of these data ("20/30/40 rule") may allow identification of patients at risk of respiratory failure early and the institution of preemptive measures such as admission to the ICU. 16 This may avoid waiting until critical values ...
1 Φεβ 2020 · Lawn et al. [1] proposed “20/30/40 rule” (Vital capacity/PImax/PEmax) for elective intubation, which is endorsed in the Guideline for the management of GBS patients [11].
