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Article
December 18, 1954

CLINICAL NOTES

JAMA. 1954;156(16):1499-1500. doi:10.1001/jama.1954.02950160029010
Abstract

RESPIRATOR IN CHRONIC PULMONARY DISEASE WITH SPONDYLITIS AND FIXATION OF THORAX  Ervin Kaplan, M.D John Detweiler, M.D. Benjamin M. Kaplan, M.D. and Lyle A. Baker, M.D., Hines, Ill.Mechanical respiration has been used with excellent results in sustaining the patient with chronic pulmonary disease during an episode of acute bronchopulmonary infection. The typical patient so benefited suffers from chronic pulmonary emphysema, complicating pneumonia with carbon dioxide retention, and hypoxia.1 Fixation of the thorax as seen in rheumatoid spondylitis contributes to chronic pulmonary disease and may subsequently lead to cor pulmonale. Acute pneumonia superimposed on chronic pulmonary impairment is often a terminal event in rheumatoid spondylitis. Despite the immobility of the thorax, such a patient, as demonstrated by the following case report, may receive dramatic benefit from mechanical respiration.

REPORT OF A CASE  The patient, a 46-year-old white man, was discharged from the Navy in 1944 because of rheumatoid spondylitis.

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