Historical Perspectives: Forty Years of Mechanical Ventilation ...Then and Now

Autor: A. G. S. Philip, M. Delivoria-Papadopoulos
Rok vydání: 2003
Předmět:
Zdroj: NeoReviews. 4:335e-339
ISSN: 1526-9906
Popis: It is difficult to know with certainty who first applied assisted ventilation for the management of neonates who have respiratory distress syndrome (RDS), which was known more commonly as hyaline membrane disease (HMD) at the time of initial assisted ventilation use. However, Maria Delivoria-Papadopoulos and Paul Swyer definitely were among the first to use endotracheal tubes and positive pressure ventilation, and their successful use of this methodology is the choice for this month’s Historical Perspective. In fact, as Dr. Delivoria-Papadopoulos indicates in her accompanying commentary, assisted ventilation may have been employed successfully on occasion a decade earlier. Undeniably it was used in some countries for infants who had neonatal tetanus, but these neonates had normal lungs, and early reports concerned the use of tracheostomy tubes. (1) Several groups embarked on the course of assisting ventilation in RDS (HMD) in the early 1960s. Some used positive pressure ventilation, including Strang and Reynolds in London, (2) Thomas and coworkers at Stanford, (3) and Heese and colleagues in Cape Town. (4) Others employed negative pressure ventilators, such as Stahlman and associates in Nashville (5) and Stern and colleagues in Montreal. (6) Indeed, negative pressure ventilation could have been used earlier. In 1889, Alexander Graham Bell “designed and built a body type respirator for use with newborn infants. Presented to the American Association for the Advancement of Science in Montreal, the invention met with little enthusiasm.” (7) The design and device are preserved in a museum in Nova Scotia, Canada. In 1969, a conference on assisted ventilation was organized in Paris by Professor Alex Minkowski, with representatives from France, Belgium, England, South Africa (data from Sweden), Finland, Canada, and the United States. (8) The big question was whether neonatologists should continue to provide assisted ventilation (perhaps more aggressively) or whether the possible complications outweighed …
Databáze: OpenAIRE