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Article
August 1962

Chronic Cor Pulmonale in the Respiratory Poliomyelitis Patient

Author Affiliations

BUFFALO, N. Y.

From the University of Buffalo Chronic Disease Research Institute, Respiratory and Rehabilitation Center.; The University of Buffalo Chronic Disease Research Institute is supported in part by the New York State Department of Health.; Present addresses: Porterville State Hospital, Porterville, Calif. (Dr. Steinborn); The Youngstown Hospital Association, Youngstown, Ohio (Dr. Loeser).

Arch Intern Med. 1962;110(2):249-254. doi:10.1001/archinte.1962.03620200109019
Abstract

Introduction  Poliomyelitis patients with marked respiratory muscle paralysis require a carefully balanced schedule of respiratory assistance. Hypo- or hyperventilation of greater degree over any length of time must be prevented. Special rehabilitation units, such as respiratory centers, have been established for this purpose during the past decade. Their specially trained staffs follow the patients' ventilatory status and accordingly set their respiratory programs. Rate, depth, and pattern of artificial respiration and the kind of respirator to be used are decided on the basis of the clinical condition of the patient and on data obtained from pulmonary function tests, blood and expiratory gas analyses, oxygen consumptions, and tidal volumes, pH determinations, and the blood picture. The medical team must become a substitute for the patient's cephalic respiratory apparatus, which, though intact, has become ineffective because its signals do not reach the musculature.Such management results in an individualized breathing program for each

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