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(Chest. 1951;19:271-287.)
© 1951 American College of Chest Physicians

Considerations of the Clinical and Physiologic Factors in the Treatment of Chronic Pulmonary Conditions

BURGESS GORDON M.D., F.C.C.P., F.A.C.P.1; HURLEY L. MOTLEY M.D., Ph.D.1; PETER A. THEODOS M.D., F.C.C.P.1; LEONARD P. LANG M.D.1; and JOSEPH TOMASHEFSKI M.D.1

1 The Barton Memorial, the Cardio-respiratory Laboratory, and the Department of Medicine, Jefferson Medical College Hospital, Philadelphia, Pennsylvania.

1) The pathology and clinical features of chronic pulmonary disease are reviewed with special reference to the hypothesis that certain manifestations and disturbances of function are related to reversible disease.

2) The mechanism of intermittent positive pressure breathing (IPPB) treatment with the supplementary use of bronchodilator drugs, a wetting agent, antibiotic drugs and diaphragmatic elevation is discussed.

3) Subjective improvement is manifested by lessened cough, dyspnea and expectoration.

4) Objective improvement is determined with physiologic methods utilized before and following a regimen of intermittent positive pressure breathing treatments.

5) The studies indicate that improved drainage of the bronchioles with the active movement of air in and out of the alveoli, as accomplished with IPPB, provides a dynamic and effective means for the treatment of chronic pulmonary conditions.






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Copyright © 1951 by the American College of Chest Physicians.