To the Editor:—
Dr. Flagg in a communication published in The Journal, October 9, page 1216, writes concerning patients with poliomyelitis requiring respirator treatment but who are in communities where respirators are not available. He suggests laryngoscopy, intubation and insufflation of oxygen under pressure as a practical means of tiding such patients over this fatal period. He further states that "injuries directed to personnel interested in the care of such cases reveals that the technic has not been used and is not being used."A portable apparatus for prolonged artificial respiration was devised (Brahdy, Leopold, and Brahdy, M. B.: Am. J. M. Sc.178:405 [Sept.] 1929) and used at the Willard Parker Hospital before the present type of respirator became available. When artificial respiration in a respirator is advocated, it should be stated that this treatment sometimes has serious and fatal sequelae (Brahdy, M. B., and Lenarsky, Maurice: J.