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A mask for the artificial respiration of rats.

A simple artificial respiration mask for rats was constructed from the drip chamber of an intravenous solution administration set. The mask was held in place by means of straps and a hole through which the maximillary incisors protruded. This mask permitted artificial ventilation during drug-induced respiratory paralysis, was easily and inexpensively constructed, and may be used with a variety of positive pressure respirators.

Animals↗

[The value of artificial respiration for patients with myasthenia gravis (author's transl)].

The value of artificial respiration for the bridging of crises in patients with myasthenia gravis is emphasized on some typical cases. Further use, beyond a life-saving indication, for limited periods is described. Such relative indications may exist, when there is not yet complete respiratory failure but when a worsening of myasthenic weakness or cholinergic intoxication may threaten a respiratory crisis. In order to prevent serious complications, early artificial respiration may be indicated in the following situations: deterioration of cardio-pulmonary complications, important changes in therapy, particularly at the start of immuno-suppressive treatment, following tracheobronchial aspiration, in chronic cholinergic intoxication, following operations under general anesthesia, particularly after thymectomy. The importance of careful psychotherapy of myasthenics threatened by respiratory crises and the well-timed information on the chances, intentions and goals of intensive care including artificial respiration is emphasized.

Anesthesia, General↗

[Inflammatory cells in bronchial lavage fluid after general anesthesia and artificial respiration].

Bronchial lavage was performed immediately after intubation and artificial respiration (sample A) and one hour later (sample B) in 26 patients who underwent general anesthesia for elective surgery, but were otherwise normal. The number of cells recovered in sample B was significantly greater than that in sample A (5.64 +/- 4.62 x 10(6) vs 1.42 +/- 0.99 x 10(6). This difference was greater in smokers than in nonsmokers. There was also a significantly greater proportion of granulocytes in sample B compared to sample A. The results were similar after inhalation or after intravenous anesthesia. There were dynamic changes in quality as well as quantity of inflammatory cells in the lower respiratory tract following intubation and artificial respiration.

Anesthesia, General↗

[Relation between long-term artificial respiration and respiratory tract infection in 104 patients in a surgical intensive care unit].

The authors studied over a period of two years prospective connections between long-term artificial respiration and infections of the lower respiratory tract. A distinction was made between colonisation (RTC) and infection (RTI). Besides the incidence rate of RTC and RTI the severity of the infection was recorded. The connections between the underlying disease, the duration of artificial respiration, the age of the patient and the antibiotic treatment with the pathogenesis of RTC and RTI were studied. In more than half of the patients RTC could be demonstrated already within the first 24 hours; differences were related to underlying disease, start of ventilation and antibiotic treatment. The RTI incidence rate in all 104 ventilated patients was 67.3%. 19.2% of these already had RTI when respiration was initiated. Thus 48.1% of the patients developed RTI during artificial respiration. The diagnosis RTI was most frequent on the fourth day of respiration, and 80% of all RTI cases had appeared by the fifth day. The highest incidence was seen in patients with a thoracic trauma (85.7%). This group of patients also included the majority of life threatening cases of RTI. In one-quarter of the patients who developed RTI during artificial respiration there was no significant deterioration of pulmonary gas exchange; in 56% however, respiration was impaired to a life-threatening extent. The age of the patients did not have any bearing on the incidence rate and severity of RTI; however, all patients under artificial respiration who were over 70 years of age, died if the severity of the RTI had to be classified as life-threatening.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

[A plea for the foundation of a counseling center for people using artificial respiration and their relatives].

BACKGROUND AND AIMS: Since the 1980s the group of people surviving with the aid of artificial respiration has expanded. So far, however, no information centre for such persons exists in Germany. Likewise, peer counselling is not a widely accepted method of allocating responsibility to afflicted persons. The task of an information centre would be to provide peer counselors who would advise people on artificial respiration. PATIENTS AND METHODS: Interviews with subjects and their relatives regarding the various aspects of artificial respiration. CONCLUSION: The foundation of such a counselling centre is recommended on account of the present need for a national information exchange and contact centre.

Community Mental Health Services↗