This protocol addresses diaphragmatic dysfunction that arises from self-limiting underlying causes — specifically Guillain–Barré syndrome or infectious causes — where spontaneous recovery over time is expected. The expectant approach is reasonable in this setting, as the root cause tends to resolve without permanent intervention.
DOI: 10.1183/20734735.0218-2024
There are also causes that resolve spontaneously over time, such as Guillain–Barré syndrome or infectious causes, for which an expectant approach is reasonable.
However, if these situations present with severe symptoms or hypoventilation, temporary ventilatory support may be necessary until clinical improvement occurs.
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