[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 34.204.183.113. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Other Articles
May 19, 1951

TRACHEOTOMY FOR PREVENTION OF PULMONARY COMPLICATIONS IN POSTOPERATIVE AND SEVERELY DEBILITATED PATIENTS

Author Affiliations

Philadelphia

From the Broncho-esophagologic Clinic of the Hospital of the University of Pennsylvania.

JAMA. 1951;146(3):241-243. doi:10.1001/jama.1951.03670030019007
Abstract

Pulmonary complications in the postoperative patient may be divided into two groups: those resulting from emboli and those produced by bronchial obstruction. This paper is concerned with the control of obstructive pulmonary lesions by tracheotomy in patients whose recovery is threatened by a respiratory complication that fails to respond to the ordinary measures for its prevention and control. Obstructive pulmonary complications produce two physiological disturbances: (1) the systemic, which is concerned with the problem of asphyxia,1 and (2) the local, which is concerned with atelectasis or its sequelae—pneumonitis, drowned lung and lung abscess. The asphyxial state can be caused by sudden obstruction, because of occlusion of the upper airway or aspiration of massive quantities of vomitus. It can also occur in atelectasis as a result of reduction in the ventilatory surface of the lung. In the latter case the onset is insidious and the degree of anoxic injury difficult

×