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Elective Surgery on Patients with Respiratory Paralysis
VERNON L. NICKEL; JACQUELIN PERRY; JOHN E. AFFELDT; CLARENCE W. DAIL
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Respiratory and Rehabilitation Center for Poliomyelitis, Rancho Los Amigos Hospital, Hondo; Departments of Orthopaedic Surgery, Internal Medicine, and Physical Medicine, College of Medical Evangelists, Los Angeles
1957 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1957; 39:989-1001 
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Abstract

1. Respiratory paralysis due to poliomyelitis is commonly accompanied by severe involvement of the trunk and extremities.

2. These patients are in great need of complete orthopaedic care—including reconstructive surgery.

3. The breathing ability does not dictate a patient's ability to tolerate surgery. It merely indicates his relative need for mechanical respiratory assistance during the surgical period.

4. The use of respiratory equipment in the early postoperative period will decrease the systemic reaction to surgery and its associated medications by supporting the patient's respiratory system and thus reducing the postoperative morbidity.

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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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