Mechanical Ventilation for Acute Respiratory Failure in Diffuse Chronic Lung Disease

Conservative and Aggressive Treatment of Acute Severe Respiratory Insufficiency in Patients with Chronic Non-Specific Lung Disease (C.N.S.L.D.)

“…In these cases, th e p a tie n t's history is often the p rin cipal d eterm in an t of our policy. We are convinced t h a t aggressive tre a tm e n t, when needed, should be given to every p a tie n t w ith a good " pulm onary reserve" [50]: e.g. patients who before th e acute episodes were capable to work, and to walk.…”

“…E ven w ith an oxygen dosage of % 1/min., severe resp irato ry depres sion m ay develop or progress, as we could witness several tim es in our p atien ts trea ted in th e R espiration U nit, notw ithstanding vigorous conservative tre a tm e n t " around th e clock" . W hen oxygen is a d m inistered uncontrolled, th e hazard of respiratory depression is, however, very m uch higher [50,51].…”

Prolonged Intubation Versus Tracheostomy in the Adult

“…It proved to be effective for bypassing upper airway obstructions, protecting the airway during operations on the mouth or larynx, and controlling airway secretions in both medical and surgery patients. It provided a practical conduit for positive-pressure ventilation in anesthetized patients, patients with paralytic poliomyelitis, and chronic obstructive pulmonary disease (COPD) patients with acute respiratory decompensation [11,12]. Other benefits of this procedure have been appreciated.…”

Treatment of severe respiratory insufficiency in diffuse chronic lung disease by tracheostomy and intermittent positive pressure ventilation (IPPV)

“…Clinical material Patients were placed in three broad clinical categories because the functional capacity of these subjects prior to the acute exacerbation provided the only significant prognostic criterion as was pointed out previously (Munck et al, 1961). Tables 1 and 2 show that only two out of fifty-six patients with fair respiratory reserve died whereas fifteen of the eighty more severely disabled patients could not be saved.…”