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July 1946

PULMONARY SUCK AND BLOW AS A RESPIRATORY ANALEPTIC: Interdependence of Cardiac Massage and Suck and Blow Resuscitation

Author Affiliations

Fellow in Surgery, New York Medical College, Flower and Fifth Avenue Hospitals, and Coney Island Hospital EUREKA, CALIF.

Arch Surg. 1946;53(1):77-85. doi:10.1001/archsurg.1946.01230060079005

IN considering the problem of resuscitation, one is prone to regard cardiorespiratory stimulants as chemical. The fact that certain analeptics may be purely mechanical or reflex in their modus operandi has received little or no clinical consideration. It is the purpose of this paper to present the results of studies supplementing a series of studies previously made by Thompson and Birnbaum1 on a mechanical method of respiratory stimulation.

Mechanical devices have been used in pulmonary resuscitation since the middle of the sixteenth century, the time of Paracelsus,2 who utilized a fireside bellows. Present appliances fall into two main groups: (1) those of the Drinker type, applied externally to the thoracic wall, and (2) those of the pulmotor variety, which are utilized directly on the tracheobronchial tree. The latter, in turn, may be subdivided into appliances which inflate the lungs and those which utilize suction and/or inflation.

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