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October 1960

Tracheotomy in Poliomyelitis and Similar Diseases

Author Affiliations

From the Contagious Division of the Cincinnati General Hospital and the Departments of Pediatrics and Otolaryngology of the University of Cincinnati College of Medicine.
Dr. Blase is Assistant Professor of Otolaryngology.
Dr. Allen is Head, Contagious Division, and Assistant Professor of Pediatrics.

Arch Otolaryngol. 1960;72(4):450-453. doi:10.1001/archotol.1960.00740010460005

In the May, 1954, issue of this Journal the authors presented a simplified guide for the use of tracheotomy in poliomyelitis.1 This guide has served effectively as an aid in guiding attending physicians, residents, and interns to a clinical decision as to whether a tracheotomy is indicated, not only in acute poliomyelitis but in a variety of other diseases which may present a similar problem. Such conditions as Guillain Barré syndrome, chronic lung disease, respiratory failure on any basis,2 diphtheria, and other conditions often present similar problems to that of the acute poliomyelitis patient and fall into the clinical groups to be described. The basic philosophy behind the use of prophylactic tracheotomy in poliomyelitis has been thoroughly presented in the medical literature.3,4 Several refinements have been developed both in the indications for tracheotomy and the care of the tracheotomy when present. We therefore feel that a re-presentation

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