GUSTAV J. BECK; ALVAN L. BARACH, F.A.C.P.
The 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.
A Description of the Physiologic Principles Involved in the Clinical Application of Exsufflation
BECK GJ, BARACH AL. VALUE OF MECHANICAL AIDS IN THE MANAGEMENT OF A PATIENT WITH POLIOMYELITIS1. Ann Intern Med. ;40:1081–1094. doi: 10.7326/0003-4819-40-6-1081
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Published: Ann Intern Med. 1954;40(6):1081-1094.
CNS Infections, Infectious Disease, Neurology.
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