In a preliminary note,1 about a year ago, I described a simple method of artificial respiration which proved efficient in animals. The method consisted in driving air rhythmically by bellows through a tube which has been introduced into the pharynx. The plan of this method was based on the following considerations. Air under pressure in the pharynx has four outlets. It may escape by way of the nasopharynx through the nose. It may escape through the mouth. It may escape through the esophagus into the stomach. It may finally enter into the trachea and the lungs; when it enters there with sufficient force, it causes an inspiration. To obtain an efficient insufflation of air from the pharynx into the lungs, the other exits must be satisfactorily barricaded. In the method described under the name of pharyngeal insufflation the escape of air through the mouth was effectively reduced by pressure
MELTZER SJ. SIMPLE DEVICES FOR EFFECTIVE ARTIFICIAL RESPIRATION IN EMERGENCIES. JAMA. 1913;60(19):1407–1410. doi:10.1001/jama.1913.04340190001001
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