Abstract

Article1 December 1938POSITIVE PRESSURE RESPIRATION AND ITS APPLICATION TO THE TREATMENT OF ACUTE PULMONARY EDEMAALVAN L. BARACH, M.D., F.A.C.P., JOHN MARTIN, M.D., MORRIS ECKMAN, B.S.ALVAN L. BARACH, M.D., F.A.C.P., JOHN MARTIN, M.D., MORRIS ECKMAN, B.S.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-12-6-754 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe purpose of this paper is to present observations we have made which provide a physiologic basis for the use of positive pressure respiration in the treatment of acute pulmonary edema. For the most part positive pressure has been thought of as a method of resuscitation such as that accomplished by the pulmotor in accidental asphyxia. The function of pressure in the respired air has, however, a broad physiological significance, being employed by the human organism itself as a compensatory mechanism as well as lending itself to therapeutic application in inhalational therapy. We wish to present the subject from the...Bibliography1. WELCH WH: Zur Pathologie des Lungenödems, Virchow's Arch. f. path. Anat., 1878, lxxii, 375. CrossrefGoogle Scholar2. MELTZER SJ: Edema; a consideration of the physiologic and pathologic factors considered in its formation, Am. Med., 1904, viii, 191. Google Scholar3. EMERSON H: Artificial respiration in the treatment of edema of the lungs, Arch. Int. Med., 1909, iii, 368. CrossrefGoogle Scholar4. BARRINGER TB: Pulmonary edema treated by artificial respiration, Arch. Int. Med., 1909, iii, 368. CrossrefGoogle Scholar5. NORTON NR: Forced respiration in a case of carbolic acid poison, Med. and Surg. Rep. Presbyterian Hosp., N. Y., 1896, i, 127. Google Scholar6. NORTHRUP WP: Apparatus for artificial forcible respiration, Med. and Surg. Rep. Presbyterian Hosp., N. Y., 1896, i, 127. Google Scholar7. OERTEL MJ: In Von Ziemssen's Handbook of Therapeutics, Translated from the German by J. B. Yeo, Wm. Wood & Co., 1885, iii, 547. Google Scholar8. AUERGATES JFL: Experiments on the causation and amelioration of adrenalin pulmonary edema, Jr. Exper. Med., 1917, xxvi, 201. CrossrefGoogle Scholar9. JOHNSON S: The experimental production and prevention of acute edema of the lungs in rabbits, Proc. Soc. Exper. Biol. and Med., 1927-28, xxv, 181. CrossrefGoogle Scholar10. GOLLASYMES FLWL: Reversible action of adrenalin and kindred drugs on the bronchioles, Jr. Pharm. and Exper. Therap., 1913-14, v, 88. Google Scholar11. LOEB L: Mechanism in the development of pulmonary edema, Proc. Soc. Exper. Biol. and Med., 1928, xxv, 321. CrossrefGoogle Scholar12. PLESCH EP: Funktionelle Gefässdiagnostik: Beziehung zwischen Schlagvolumen und Gefässsystem, Ztschr. f. klin. Med., 1933, cxxiii, 208. Google Scholar13. POULTON EP: Left-sided heart failure with pulmonary edema treated with the pulmonary plus pressure machine, Lancet, 1936, ccxxxi, 983. Google Scholar14. MOOREBINGER RLCA: (a) Observations on resistance to the flow of blood to and from the lungs, Jr. Exper. Med., 1927, xlv, 655. (b) Response to respiratory resistance: a comparison of the effects produced by partial obstruction in the inspiratory and expiratory phases of respiration, Jr. Exper. Med., 1927, xlv, 1065. CrossrefGoogle Scholar15. BARACH AL(a) : Effects of inhalation of helium mixed with oxygen on the mechanics of respiration, Jr. Clin. Invest., 1936, xv, 47-61. (b) BARACH, A. L.: The therapeutic use of helium, Jr. Am. Med. Assoc., 1936, cvii, 1273-1279. CrossrefGoogle Scholar16. TIGERSTEDT NR: Ergebn. d. Physiol., 1903, ii, 528. CrossrefGoogle Scholar17. WIGGERS CJ: Regulation of the pulmonary circulation, Physiol. Rev., 1921, i, 239. CrossrefGoogle Scholar18. DALY ID: The resistance of the pulmonary vascular bed, Jr. Physiol., 1930, lxix, 239. Google Scholar19. MOLLGAARD : Fysiologisk Lungekirurgie, Copenhagen. Quoted by Tigerstedt, Physiologie des Kreislaufes, 1923. Google Scholar20. HUGGETT SG: Studies on the respiration and circulation of the cat—the heart output during respiratory obstruction, Jr. Physiol., 1924-25, lix, 373. CrossrefGoogle Scholar21. LANDIS EM: Micro-injection studies of capillary permeability, Am. Jr. Physiol., 1927-28, lxxxiii, 387. Google Scholar22. KROGH A: Anatomy and physiology of capillaries, 2nd Edition, 1929, New Haven. CrossrefGoogle Scholar23. BARACH AL: The use of helium in the treatment of asthma and obstructive lesions of larynx and trachea, ANN. INT. Med., 1935, ix, 739. See reference 15. Google Scholar24. BARACHMARTINECKMAN ALJM: Positive pressure respiration and its application to the treatment of acute pulmonary edema and respiratory obstruction, Proc. Am. Soc. Clin. Invest., 1937, xvi, 664. Google Scholar25. GRAHAM EA: Influence of respiratory movement on the formation of pleural exudates, Jr. Am. Med. Assoc., 1921, lxxvi, 784. Google Scholar26. BARACH AL: Recent advances in inhalational therapy and treatment of cardiac and respiratory disease—principles and methods, N. Y. State Jr. Med., 1937, xxxvii, 1095. Google Scholar27. CHRISTIEMEAKINS RVJC: The intrapleural pressure in congestive heart failure and its clinical significance, Jr. Clin. Invest., 1934, xiii, 323. CrossrefGoogle Scholar28. KINGHITZIGBULLOWA FHWMJG FISHBERG AM (by invitation) and : The circulation in lobar pneumonia with special reference to pulmonary edema, Jr. Clin. Invest., 1936, xv, 452. Google Scholar29. WOODMAN M: On the control of air pressure in the lungs after tracheotomy, Jr. Laryn. and Otol., 1935, i, 214. Google Scholar30. KERNANBARACH JAL: To be published. Google Scholar31. PRICKMAN LE: The treatment of severe asthma, Proc. Staff Meet. Mayo Clinic, 1936, xi, 580. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New York, N. Y.*Received for publication October 18, 1937.From the Department of Medicine, Columbia College of Physicians and Surgeons, the Presbyterian Hospital, New York, and the Lakeside Hospital, Cleveland, Ohio. 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