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February 20, 1932


JAMA. 1932;98(8):656. doi:10.1001/jama.1932.02730340064025

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Therapeutic Pneumopericardium in Carditis with Effusion  Addressing recently the Sociedade de Medicina e Cirurgia of Rio de Janeiro, Dr. N. Romano of Buenos Aires considered the favorable effects of therapeutic pneumopericardium on carditis with large effusions. The speaker has resorted to this treatment with good results for ten years. Therapeutic pneumopericardium prevents the formation of cardiac adhesions and favors the action of the heart. The necessary instruments to perform the operation are a needle 7 cm. long, a syringe of 20 cc. capacity with which the fluid of the effusion is removed, and a simple apparatus for production of pneumothorax. The amount of fluid removed should be replaced by the same amount of injected air, without exceeding, however, 400 cc. The point at which the puncture should be made is previously determined according to the amount of the effusion as shown by both the clinical and the roentgen examination. Whenever