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(Chest. 1949;15:741-744.)
© 1949 American College of Chest Physicians

Cervical Vagus—Sympathetic Block in Pulmonary Embolism

WILLIAM A. WERNER M.D.1 and LEWIS H. FERGUSON JR. M.D.1

1 St. John's Hospital, St. Louis, Missouri.

In the production of the clinical picture of pulmonary embolism, varying importance has been attached to pressure changes in the pulmonary circulation, reflex vaso- and bronchospasm, and reflex production of pulmonary atelectasis. Atropin and vagatomy aid to increase tolerance to pulmonary emboli in dogs. Skvortsov used with success a cervical vagus-sympathetic block with procaine in a variety of war casualties in which shock complicated wounds of the chest and upper extremities. A case of pulmonary embolism followed by severe shock is presented in which cervical vagus-sympathetic block was used successfully.






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Copyright © 1949 by the American College of Chest Physicians.