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January 24, 1966

Irreversible Status Asthmaticus

JAMA. 1966;195(4):322. doi:10.1001/jama.1966.03100040128046

To the Editor:—  From the interesting article by Beam et al (194:968, 1965), one would infer that theirs is the first use in this condition and age group both of intermittent positive pressure ventilation (IPPV) and of IPPV together with myoneural blockade. The application of IPPV has been reported by Swensson1 and by Bates.2 IPPV together with myoneural blockade has been reported by Downes.3 In all fairness to the authors of the article in The Journal, however, it would have been difficult for them to know of this prior work.The use of IPPV together with narcotic and barbiturate sedation instead of myoneural blockade has also been described by Downes.3 Although this method appears to be less satisfactory, it may be safer in hospitals in which the intensive care of apneic patients is limited.

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