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December 21, 1963

Clinical Practice and Physiology of Artificial Respiration.

JAMA. 1963;186(12):1104. doi:10.1001/jama.1963.03710120086027

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In 1939, Lord Nuffield provided an "iron lung" to every hospital in the commonwealth which requested one. The Nuffield Department of Anaesthetics, established at Oxford in 1937, helped distribute these machines and gave instructions in their use. As early as 1940, work began on the use of these respirators in the prophylaxis of chest complications after operation. In 1947, Dr. Ritchie Russell began using respirator treatment for patients with poliomyelitis. Using the tracheotomy and intermittent positive pressure respiration method of treatment, Dr. Russell established a respirator unit at Oxford in 1953. He stimulated an association between Drs. Spalding and Smith to carry on this work; in 1955 Lord Nuffield generously provided a six-bed ward where, as of publication time, the authors have treated 153 patients.

The book, based on this experience, may be divided into three main sections, the practice, the physiology, and use of artificial respiration in specific diseases.

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