THE CLINICAL USE OF THE EXSUFFLATOR ATTACHMENT FOR TANK RESPIRATORS IN POLIOMYELITIS
Authors: R M CHERNIACK, J A HILDES, A J ALCOCK
Journal: Annals of Internal Medicine (1954)

Article1 March 1954THE CLINICAL USE OF THE EXSUFFLATOR ATTACHMENT FOR TANK RESPIRATORS IN POLIOMYELITISR. M. CHERNIACK, M.D., J. A. HILDES, M.D., M.R.C.P.(Lond.), F.R.C.P.(C), A. J. W. ALCOCK, M.D.R. M. CHERNIACK, M.D.Search for more papers by this author, J. A. HILDES, M.D., M.R.C.P.(Lond.), F.R.C.P.(C)Search for more papers by this author, A. J. W. ALCOCK, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-40-3-540 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptMortality in acute poliomyelitis is almost entirely limited to those cases having respiratory or bulbar paralysis, and particularly to those having a combination of both. Although cardiovascular collapse, hyperthermia and gastrointestinal hemorrhage may occur, the major complications are respiratory, particularly when paralysis of respiratory muscles is complicated by an inability to swallow or phonate. Severe anoxia and retention of carbon dioxide may develop and be further complicated by atelectasis or infection. The mechanism of coughing will normally prevent the development of these complications, but this requires not only muscles of active expiration but also the ability to build up a...Bibliography1. BarachBeckBickermanSeanor ALGJHAHE: Mechanical coughing: studies on physical methods of producing high velocity flow rates during the expiratory cycle, Tr. A. Am. Physicians 64: 360, 1951. MedlineGoogle Scholar2. BarachBickermanBeck ALHAGJ: Advances in the treatment of non-tuberculous pulmonary disease, Bull. New York Acad. Med. 28: 353, 1952. MedlineGoogle Scholar3. BarachBeckBickermanSeanor ALGJHAHE: Physical methods simulating mechanisms of the human cough, J. Appl. Physiol. 5: 85, 1952. CrossrefMedlineGoogle Scholar4. BarachBeckBickermanSeanor ALGJHAHE: Use of physical methods simulating cough mechanisms in poliomyelitis, bronchial asthma, pulmonary emphysema and bronchiectasis, J. A. M. A. 150: 1380, 1952. CrossrefGoogle Scholar5. Cherniack RM: The effect of mechanical exsufflation on respiratory gas exchange in chronic pulmonary emphysema, J. Clin. Investigation 32: 1192, 1953. CrossrefMedlineGoogle Scholar6. HildesAlcock JAAJ: The management of acute poliomyelitis, to be published. Google Scholar7. PerrinAlcockHildes MBAJJA: Tracheotomy in acute poliomyelitis, to be published. Google Scholar8. AffeldtWhittenbergerMeadFerris JEJLJBG: Pulmonary function in convalescent poliomyelitic patients. II. Pressure-volume relations of thorax and lungs of chronic respiratory patients, New England J. Med. 247: 43, 1952. CrossrefMedlineGoogle Scholar9. Matsch WJ: Personal communication. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Winnipeg, Canada*Received for publication July 17, 1953.From the Winnipeg Municipal Hospitals and the Department of Physiology and Medical Research, The University of Manitoba, Winnipeg, Canada. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byNegative Pressure Noninvasive Ventilation (NPNIV): History, Rationale, and ApplicationPneumothorax Associated with Mechanical Insufflation–Exsufflation and Related FactorsAirway clearance in children with neuromuscular weaknessManagement of Airway Secretions in Patients with Severe Respiratory Muscle DysfunctionUse of the Mechanical In-Exsufflator in Pediatric Patients With Neuromuscular Disease and Impaired CoughReferencesUpdate And Perspective on Noninvasive Respiratory Muscle AidsMechanical Insufflation-ExsufflationARTIFICIAL COUGHING FOR PATIENTS WITH RESPIRATORY PARALYSIS�ber ein neues Ger�t zur Erzielung k�nstlicher Hustenst��eCurrent pediatric references 1 March 1954Volume 40, Issue 3Page: 540-548KeywordsCarbon dioxideCoughingGastrointestinal hemorrhageHyperthermiaMortalityMusclesParalysisPoliomyelitisRespirators ePublished: 1 December 2008 Issue Published: 1 March 1954 PDF downloadLoading ...