RESPIRATORY IMPAIRMENT AND PULMONARY COMPLICATIONS IN PARALYZED STATES: A METHOD FOR EARLY DETECTION
Authors: R L SWANK
Journal: Annals of Internal Medicine (1950)

Article1 February 1950RESPIRATORY IMPAIRMENT AND PULMONARY COMPLICATIONS IN PARALYZED STATES: A METHOD FOR EARLY DETECTIONROY LAVER SWANKROY LAVER SWANKSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-32-2-229 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPulmonary atelectasis and pneumonia are common fatal complications of stuporous, debilitating and paralyzed states. In some neurological conditions in which this is apt to occur, notably multiple neuritis, such a complication may be the only cause of death in an otherwise completely recoverable condition. Pasteur1attributed the atelectasis in patients with diphtheritic polyneuritis to paralysis of the respiratory muscles, which allowed the lungs to collapse as the result of their normal elasticity. These and other factors are: (1) a reduction of lung volume and constriction of the smaller air ways, as the result of collapse of the chest cage and...Bibliography1. Pasteur W: Respiratory paralysis after diphtheria as a cause of pulmonary complications with suggestions as to treatment, Am. J. Med. Sci. 100: 242, 1890. CrossrefGoogle Scholar2. SwankSmedal RLMI: Pulmonary atelectasis in stuporous states: a study of its incidence and mechanism on sodium amytal narcosis, Am. J. Med. 5: 210, 1948. CrossrefMedlineGoogle Scholar3. Wilson JJ: Respiratory failure in poliomyelitis—treatment with Drinker respirator, Am. J. Dis. Child. 43: 1433, 1932. CrossrefGoogle Scholar4. Smith E: Respiratory failure and the Drinker respirator in poliomyelitis, J. A. M. A. 100: 1666, 1933. CrossrefGoogle Scholar5. DrinkerMcKhann PC: The use of a new apparatus for the prolonged administration of artificial respiration: a fatal case of poliomyelitis, J. A. M. A. 92: 1658, 1929. CrossrefGoogle Scholar6. HaldaneMeakinsPriestley JSJCJG: The respiratory response to anoxemia, J. Physiol. 52: 420, 1919. CrossrefMedlineGoogle Scholar7. HaldanePriestley JSJG: Respiration, 1935, Yale University Press, New Haven. Google Scholar8. SwankFoley RLJM: Respiratory, electroencephalographic and blood gas changes in progressive barbiturate narcosis in dogs, J. Pharmacol. and Exper. Therap. 92: 381, 1948. MedlineGoogle Scholar9. DraperWhiteheadSpencer WBRWJN: Studies on diffusion respiration. III. Alveolar gases and venous blood pH of dogs during diffusion respiration, Anesthesiology 8: 524, 1947. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Montreal, Canada*Received for publication June 10, 1948.From the Neurological Unit, Boston City Hospital, Medical Clinics, Peter Bent Brigham Hospital, and Neurological and Medical Departments, Harvard Medical School, Boston.This work was supported by a grant-in-aid by the John and Mary R. Markle Foundation. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byRESPIRATORY FAILURE IN POLIOMYELITIS: A SIMPLE METHOD FOR ITS RECOGNITION AND CONTROL*WALTER F. STAFFORD JR., M.D., RAMSDELL GURNEY, M.D., F.A.C.P. 1 February 1950Volume 32, Issue 2Page: 229-242KeywordsHospitalsLungsMusclesParalysisPneumoniaThoraxVentilators ePublished: 1 December 2008 Issue Published: 1 February 1950 PDF downloadLoading ...