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October 9, 1937

BETWEEN RESPIRATORY PARALYSIS AND THE RESPIRATOR

JAMA. 1937;109(15):1216-1217. doi:10.1001/jama.1937.02780410054019

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Abstract

To the Editor:—  The present epidemic of poliomyelitis appears to present a medical emergency from the point of view of the treatment of acute asphyxia. It is well recognized that the most satisfactory form of routine artificial respiration for this type of case is by the negative pressure cabinet. There is, however, a sharp break in the link of treatment which occurs not infrequently between the period when asphyxia has developed as a result of ascending muscular paralysis and that time when negative pressure cabinet facilities become available.Press reports would suggest that patients who are out of touch with such treatment in such an emergency perish.My experience with resuscitation suggests the use of laryngoscopy, intubation and insufflation of oxygen under pressure as a practical means of tiding over this fatal period.To my great astonishment inquiries directed to personnel interested in the care of such cases reveals that

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