VALUE OF MECHANICAL AIDS IN THE MANAGEMENT OF A PATIENT WITH POLIOMYELITIS
Authors: G J BECK, A L BARACH
Journal: Annals of Internal Medicine (1954)

Article1 June 1954VALUE OF MECHANICAL AIDS IN THE MANAGEMENT OF A PATIENT WITH POLIOMYELITISGUSTAV J. BECK, ALVAN L. BARACH, F.A.C.P.GUSTAV J. BECKSearch for more papers by this author, ALVAN L. BARACH, F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-40-6-1081 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe purpose of this paper is to describe the value of mechanical methods of aiding the functions of the respiratory system in patients with bulbar poliomyelitis in whom inability to expectorate produces severe and chronic breathing difficulties. The chief measures employed included exsufflation with negative pressure and an abdominal belt of the type used in the treatment of pulmonary emphysema1-6; a case report illustrates the therapeutic response to these measures and, in addition, the mental and physiologic effects of artificial respiration without changes in lung volume.METHODSA Description of the Physiologic Principles Involved in the Clinical Application of Exsufflation...Bibliography1. BarachBeckSmith ALGJWH: Mechanical production of expiratory flow rates surpassing the capacity of human coughing, Am. J. M. Sc. 226: 241, 1953. CrossrefMedlineGoogle Scholar2. Bickerman HA: The elimination of radio-opaque material and foreign bodies from the bronchi of anesthetized dogs by exsufflation with negative pressure. To be published. Google Scholar3. BarachBeckSpanier ALGJM: Exsufflation with negative pressure; physiologic and clinical studies in poliomyelitis, bronchial asthma, pulmonary emphysema and bronchiectasis. To be published. Google Scholar4. BarachBeckBickermanSeanor ALGJHAHE: Physical methods simulating cough mechanisms: use in poliomyelitis, bronchial asthma, pulmonary emphysema and bronchiectasis, J. A. M. A. 150: 1380, 1952. CrossrefGoogle Scholar5. BarachBeck ALGJ: The effect of the head-down position in patients with pulmonary emphysema, Am. J. Med. 16: 55 (Jan.) 1954. CrossrefMedlineGoogle Scholar6. BeckBarachSmith GJALWH: The technique of employing exsufflation with negative pressure: a mechanical method of eliminating retained bronchial secretions, Mod. Hosp. 82: 96 (Jan.) 1954. MedlineGoogle Scholar7. AffeldtWhittenbergerMeadFerris JEJLJBG(a) : 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. (b) Ferris, B. G., Jr., Mead, J., Whittenberger, J. L., and Saxton, G. A.: Pulmonary function in convalescent poliomyelitic patients. III. Compliance of the lungs and thorax, New England J. Med. 247: 39, 1952. CrossrefMedlineGoogle Scholar8. LukasPlum DSF: Pulmonary function in patients convalescing from acute poliomyelitis with respiratory paralysis, Am. J. Med. 12: 388, 1952. CrossrefMedlineGoogle Scholar9. BarachBickermanBeck ALHAGJ: Advances in the treatment of nontuberculous pulmonary disease, Bull. New York Acad. Med. 28: 353, 1952. MedlineGoogle Scholar10. BarachEastlakeBeck ALCGJ: Clinical results and physiological effects of immobilizing lung chamber therapy in chronic pulmonary tuberculosis, Dis. of Chest 20: 148, 1951. CrossrefMedlineGoogle Scholar11. BeckSeanorBarachGates GJHEALD: Effects of pressure breathing on venous pressure applied to the upper respiratory passageway and negative pressure to the body of normal individuals, Am. J. M. Sc. 224: 169 (Aug.) 1952. CrossrefMedlineGoogle Scholar12. RandallHabifLockwoodWerner HTDVJSSC: Potassium deficiency in surgical patients, Surgery 26: 341, 1950. Google Scholar13. BowerChudnoffChaney AGJSAL: Biochemical alteration in acute human poliomyelitis: electrolyte patterns and trends, California Med. 73: 406, 1950. MedlineGoogle Scholar14. BowerMorganChaney AGFMAL: Nitrogen and potassium metabolism: the reaction pattern in poliomyelitis, Am. J. M. Sc. 223: 532, 1952. CrossrefMedlineGoogle Scholar15. Martz CD: Personal communication. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New York, N. Y.*Presented at the Thirty-fifth Annual Session, American College of Physicians, Chicago, Illinois, April 7, 1954.From the Department of Medicine, College of Physicians and Surgeons, Columbia University, and the Presbyterian Hospital, New York.This study was aided by a grant of the National Foundation for Infantile Paralysis. Nextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe Effectiveness of Mechanical Insufflator/Exsufflator in Sputum Discharge Among Intensive Care Unit Admitted PatientsA Historical Perspective on Expiratory Muscle Aids and Their Impact on Home CareManagement of Airway Secretions in Patients with Severe Respiratory Muscle DysfunctionReferencesUpdate And Perspective on Noninvasive Respiratory Muscle Aids�ber ein neues Ger�t zur Erzielung k�nstlicher Hustenst��eEFFECT OF PHYSICAL METHODS ON THE MECHANICS OF BREATHING IN POLIOMYELITIS*†GUSTAV J. BECK, M.D., GEORGE C. GRAHAM, M.D., ALVAN L. BARACH, M.D., F.A.C.P.Current pediatric references 1 June 1954Volume 40, Issue 6Page: 1081-1094KeywordsAIDSBreathingHospital medicineLungsPoliomyelitisRespiratory physiologyRespiratory systemRespiratory system proceduresSurgeonsVentilators Issue Published: 1 June 1954 Copyright & PermissionsCopyright, 1954, by The American College of PhysiciansPDF downloadLoading ...