EIGHT YEARS DEPENDENCE ON A RESPIRATOR

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Abstract
Seven years dependence on a respirator is an experience sufficiently unusual to warrant chronicle and comment. When the cause of such dependence is a case of acute anterior poliomyelitis with resultant massive paralysis involving practically all voluntary muscles below the clavicles and all automatic respiratory muscles with the exception of the right leaf of the diaphragm, the number and magnitude of the problems presented are all too evident. In these seven years the subject of this report spent more than half his time in the respirator, never acquiring a capacity to sleep and carry on respiration simultaneously. During this time three types of problems arose: (1) those immediately connected with his care, (2) those concerned with the physiologic changes occurring as a result of the extensive paralysis and (3) those involved in a study of his respiratory control. The first two of these problems will be discussed in this paper;

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