| Cuirass respirator treatment of chronic respiratory failure in scoliotic patients. | |
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MedLine Citation:
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PMID: 266763 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The results are reported of domiciliary cuirass respirator treatment, using tailor-made shells, in four patients with severe thoracic scoliosis. Three of the patients had suffered from poliomyelitis. All complained of increasing dyspnoea on exertion, ultimately interfering with almost every activity of daily life; three patients had severe acute respiratory failure necessitating urgent admission to the Respiratory Care Unit. Right heart failure was present in two. Two patients required mechanical treatment via an endotracheal tube. All the patients were discharged home with a cuirass respirator. Standard type shells were used initially with low efficiency due to the poor fit of the cuirass shell to the deformed thoracic cage. Tailor-made shells were constructed from polyester reinforced with glass fibre, modelled on plaster casts of the thoracic cage. Subjectively the patients improved greatly and were able to resume and increase many activities. One patient committed suicide for reasons unconnected with treatment but the other three patients have been doing well from the time the cuirass respirator treatment was started, respectively, 3, 6, and 10 years ago. This treatment seems particularly effective in younger patients with severe paralytic scoliosis and cardiorespiratory failure, although the possibility of using it in older patients suffering from scoliosis of other aetiology should certainly be explored. |
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Authors:
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P W Wiers; R Le Coultre; O T Dallinga; W van Dijl; A F Meinesz; H J Sluiter |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Thorax Volume: 32 ISSN: 0040-6376 ISO Abbreviation: Thorax Publication Date: 1977 Apr |
Date Detail:
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Created Date: 1977-07-18 Completed Date: 1977-07-18 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 0417353 Medline TA: Thorax Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 221-8 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Chronic Disease Female Humans Male Poliomyelitis / complications Respiratory Insufficiency / etiology, therapy* Scoliosis / complications* Ventilators, Mechanical / instrumentation* |
| Comments/Corrections | |
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