ROY LAVER SWANK
Pulmonary 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. Pasteur1 attributed 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
SWANK RL. RESPIRATORY IMPAIRMENT AND PULMONARY COMPLICATIONS IN PARALYZED STATES: A METHOD FOR EARLY DETECTION1. Ann Intern Med. ;32:229–242. doi: 10.7326/0003-4819-32-2-229
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Published: Ann Intern Med. 1950;32(2):229-242.
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