In eight cases of unilateral empyema in children, the induction and maintenance of an artificial Pneumothorax on the sound side was employed to favor drainage and cause earlier obliteration of the empyema cavity. This method was developed following the observation in one case of bilateral empyema that drainage instituted on the side more markedly affected resulted in clearance of the suppuration within seven days. Since this experience was not entirely unique and has been noticed by other observers, it seems that the most likely explanation for the phenomenon was that the compression of the untreated side by the effusion resulted in more rapid expansion of the lung on the side of which drainage had been established. It then occurred to one of us (J. R.) that perhaps similar acceleration of the healing in unilateral empyema processes could be obtained by reproducing the condition of compression of the normal lung by
KOSTER H, ROSENBLUM J, KASMAN LP, LERNER H. THE TREATMENT OF ACUTE EMPYEMA IN CHILDREN: PRELIMINARY REPORT. JAMA. 1935;104(17):1484–1486. doi:10.1001/jama.1935.02760170022006
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