R. 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.
Mortality 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
CHERNIACK RM, HILDES JA, ALCOCK AJW. THE CLINICAL USE OF THE EXSUFFLATOR ATTACHMENT FOR TANK RESPIRATORS IN POLIOMYELITIS1. Ann Intern Med. ;40:540–548. doi: 10.7326/0003-4819-40-3-540
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Published: Ann Intern Med. 1954;40(3):540-548.
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