The Treatment of Pulmonary Emphysema and of Diffuse Pulmonary Fibrosis with Nebulized Bronchodilators and Intermittent Positive Pressure Breathing* *Read, in part, by Dr. Fowler at the meeting of the American College of Chest Physicians, San Francisco, California, June 17 to 20, 1954.

1955 ◽  
Vol 28 (3) ◽  
pp. 309-325 ◽  
Author(s):  
R. DREW MILLER ◽  
WARD S. FOWLER ◽  
H. FREDERIC HELMHOLZ
CHEST Journal ◽  
1986 ◽  
Vol 90 (4) ◽  
pp. 546-552 ◽  
Author(s):  
F. Dennis McCool ◽  
Raymond F. Mayewski ◽  
David S. Shayne ◽  
Charles J. Gibson ◽  
Robert C. Griggs ◽  
...  

1980 ◽  
Vol 18 (8) ◽  
pp. 29-31

Physiotherapy is given to patients with chest disease in the hope of aiding the removal of secretions, improving respiratory function and increasing general mobility. Evaluating physiotherapy is difficult and until recently few attempts have been made to do so. This article considers the use of postural drainage, chest percussion and vibration, intermittent positive pressure breathing, forced expiration technique, breathing exercises and general exercises for some common chest conditions.


PEDIATRICS ◽  
1966 ◽  
Vol 37 (4) ◽  
pp. 684-698
Author(s):  
Jerome Imburg ◽  
Thomas C. Hartney

Animal studies have shown that fluid enters the body via the lungs in sea-water and fresh-water drowning. In fresh-water drowning in dogs, there is marked and rapid hemodilution with death due to ventricular fibrillation in about 4 minutes. In sea-water drowning in dogs, there is hemoconcentration; the blood water is lost into the sea water in the lungs with bradycardia and death due to asystole in 6 to 8 minutes. Studies of human drowning victims show similar, but less striking, changes in hemodynamics. In human non-fatal submersion the problems are usually those produced by impaired pulmonary function and central nervous system damage due to hypoxia. Hemodilution and ventricular fibrillation have not been documented in human nonfatal submersion. Therapeutic measures may be divided into those of an immediate urgent nature to be employed at the accident scene: expired air resuscitation, which should be started on reaching the unconscious victim in the water, and external cardiac massage, when indicated. Later measures to be instituted in the hospital include: cardiac resuscitation, intermittent positive-pressure breathing, hypothermia, tracheostomy and tracheal tiolet, oxygen therapy, antibiotics, steroids, and intravenous fluids to correct defects in blood elements (hemoglobin, electrolytes, pH). Later, pulmonary function should be studied for impairment due to alveolar damage and fibrosis. Permanent neurologic sequellae may develop.


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