ONE OF the many difficulties encountered in the management of bulbar poliomyelitis has been the development of respiratory distress resulting from accumulation and inspissation of mucus within the respiratory tract with resultant segmental or even massive atelectasis. Until recently, the most effective methods for prevention and correction of such disturbing complications included postural drainage, frequent suctionings, and occasional use of aerosol solutions to supply moisture and prevent infections. Added to this was the more complex procedure of bronchoscopic aspiration. Unfortunately, the first three methods mentioned have not always or generally proved reliable, whereas the last method required specialized experience and technique. Many small community hospitals are not sufficiently staffed or equipped to offer the more complex method, even though it is generally more desirable and effective.
It is the purpose of this preliminary report to describe another method which can be adapted to even the smallest hospital and which can