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BETWEEN RESPIRATORY PARALYSIS AND THE RESPIRATOR

BETWEEN RESPIRATORY PARALYSIS AND THE RESPIRATOR To the Editor:— The present epidemic of poliomyelitis appears to present a medical emergency from the point of view of the treatment of acute asphyxia. It is well recognized that the most satisfactory form of routine artificial respiration for this type of case is by the negative pressure cabinet. There is, however, a sharp break in the link of treatment which occurs not infrequently between the period when asphyxia has developed as a result of ascending muscular paralysis and that time when negative pressure cabinet facilities become available. Press reports would suggest that patients who are out of touch with such treatment in such an emergency perish. My experience with resuscitation suggests the use of laryngoscopy, intubation and insufflation of oxygen under pressure as a practical means of tiding over this fatal period. To my great astonishment inquiries directed to personnel interested in the care of such cases reveals that http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

BETWEEN RESPIRATORY PARALYSIS AND THE RESPIRATOR

JAMA , Volume 109 (15) – Oct 9, 1937

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Publisher
American Medical Association
Copyright
Copyright © 1937 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1937.02780410054019
Publisher site
See Article on Publisher Site

Abstract

To the Editor:— The present epidemic of poliomyelitis appears to present a medical emergency from the point of view of the treatment of acute asphyxia. It is well recognized that the most satisfactory form of routine artificial respiration for this type of case is by the negative pressure cabinet. There is, however, a sharp break in the link of treatment which occurs not infrequently between the period when asphyxia has developed as a result of ascending muscular paralysis and that time when negative pressure cabinet facilities become available. Press reports would suggest that patients who are out of touch with such treatment in such an emergency perish. My experience with resuscitation suggests the use of laryngoscopy, intubation and insufflation of oxygen under pressure as a practical means of tiding over this fatal period. To my great astonishment inquiries directed to personnel interested in the care of such cases reveals that

Journal

JAMAAmerican Medical Association

Published: Oct 9, 1937

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