[Examination of the Carden CPPB apparatus (author's transl)].
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Difficulties and complications during artificial ventilation of prematures and newbornes gave rise to investigate the pressure-flow-characteritics during artificial respiration with the flow-time-cycled respirator Bennett PR-2 in combination with thin tracheal tubes. The flow and corresponding pressures generated by the respirator under different conditions were investigated. It is suggested that a sufficient respiration is not possible with a low generator pressure and high tidal frequencies under pathological conditions as it is often practised.
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Mechanical ventilatory support with a variety of devices and techniques has saved many lives; however, it remains the responsibility of those charged with the care of patients suffering from respiratory failure to be thoroughly familiar with these techniques and their complications.
A case is presented of massive air embolism complicating respiratory distress syndrome of the newborn. This uncommon complication of respiratory therapy has occurred only with high inflation pressures and has been uniformly fatal in this and all reported cases. Antemortem radiographs are necessary for accurate diagnosis.
Pulmonary vascular air embolism is a rare, fatal complication of positive-pressure ventilation in hyaline membrane disease. Sudden deterioration of an infant on respiratory therapy should alert the clinician and radiologist to the possibility of this entity. A case history with typical radiographic findings is presented.
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Report of 3 cases of drowning (children). 2 patients survived without severe injury, 1 patient died after 13 days. The protective action of hypothermia to the brain and heart in hypothermic drowning is emphasized. Even in apparently hopeless cases resuscitation should be started immediately and should not be discontinued too early. Especially in hypothermic drowning efforts can be successful after more than 60 min. of resuscitation. In cases of drowning an emergency physician should be called immediately (emergency-ambulance, rescue-helicopter). A short survey of pathologic physiology, emergency therapy and intensive care of drowning is given.
The utilization of integrated pneumatic circuits in respiratory care has led to the development of compact and sophisticated ventilators for the treatment of acute respiratory failure. We examined a new apparatus of this type, the Veriflo CV 2000, in the technical laboratory and the practical application in a surgical intensive care unit. The results of this evaluation can be summarized as follows: the technical performance of the Veriflo CV 2000 is good. There is a loss of 10% of tidal volume when the endexpiratory pressure is increased from 0 to 20 cm H2O, and of 20% with an increase of the opposing resistance to 45 cm H2O/l/sec. During one year, the Veriflo CV 2000 was used for the treatment of over 50 patients requiring mechanical ventilation for mild or severe forms of acute respiratory failure. This ventilator was very helpful in the treatment of patients presenting with difficulties during weaning for ventilatory support. The possibility to use controlled, assisted and synchronized intermittent mandatory ventilation as well as CPAP without additional valves or tubing makes the veriflo CV 2000 a very useful instrument in respiratory care.
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Aspiration disease, a term used to define both an acute and chronic form of a disease entity, is described. Etiological factors, pathophysiology and therapy are discussed with emphasis on aspiration of gastric juice. A brief mention of a small clinical experience is included.
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