Abdominal distention as an indication of post-polio ventilatory insufficiency. Clinical note

Post-polio patients may experience episodes of recurrent respiratory insufficiency even after years of relatively stable pulmonary function. This patient's case was clearly documented with pulse oxymetry at night. Her major complaint, that of abdominal distension, was successfully addressed with the use of negative pressure ventilation. The likely cause of the abdominal distension was the excessive swallowing of air during episodes of ventilatory insufficiency. The goal of care for this patient was a safer, less stressful, more comfortable and restful nighttime routine with less daytime fatigue. The symptom of abdominal distention served as an indicator of a significant threat to her well being. Psychological support was a key element in her acceptance of the use of the ventilatory support equipment.