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April 1922


Author Affiliations


From the Surgical Clinic, Peter Bent Brigham Hospital

Arch Intern Med (Chic). 1922;29(4):449-481. doi:10.1001/archinte.1922.00110040048005

INTRODUCTION  It is with some hesitation that we again present this subject.1 That there remains, however, considerable divergence in the minds of both surgeons and anesthetists as to the etiologic factors, and therefore, the prevention and treatment of pulmonary complications there is no doubt. The retiring president of the American Association of Anesthetists stated this Spring that only 3 per cent. of anesthetists considered such complications as embolic in origin and in the most recent textbook of medicine2 aspiration is put forward as the chief cause of postoperative pneumonia. Previous studies had led us to believe that the majority of these lesions are infarcts and an analysis of the cases subjected to operation in this clinic during the past year brings additional evidence to support this view. The recent literature contains many excellent papers in agreement with this opinion, and we feel that it is unfortunate that anesthetists and anesthesia

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