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April 13, 1918


Author Affiliations

Cedar Rapids, Iowa

JAMA. 1918;70(15):1063-1064. doi:10.1001/jama.1918.26010150001006

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Of the classic methods of artificial respiration in asphyxia neonatorum, mouth-to-mouth insufflation has proved more efficient than the methods dependent on manipulation of the child. The manipulative methods of Prochownick (rhythmic compression of the child's chest in inverted suspension), rhythmic flexion and extension of the child's body, and Schultz' swingings are all useful in asphyxia livida, but in the more critical condition of asphyxia pallida, mouth-to-mouth insufflation or insufflation through a tracheal catheter will frequently succeed after these methods have failed.

There are, however, serious objections to mouth-to-mouth insufflation: 1. The delicate air vesicle may be ruptured. Bichat has proved the possibility of blowing air into the vessels near the heart if too much force is used. 2. There is danger of infection of the child by the operator. 3. The insufflated air has already been deprived of much of its oxygen, and is laden with carbon dioxid. 4. The

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