JACK J. APPLEFELD, M.D.
To the editor: A few points relating to the recent paper (Ann Intern Med 79:187-193, 1973) on positive endexpiratory pressure and its beneficial effects on patients with hypoxemia on mechanical ventilation should be emphasized.
First, positive end expiratory pressure is not an appropriate term; continuous positive airway pressure CPAP is more appropriate. This latter term better describes the dynamics.
Second many therapies in medicine are empiric; for example, the dose of steroids in autoimmune disease. Unfortunately, the quantitation of CPAP is also empiric in some institutions. I trained at the University of Florida Anesthesiology Department, from which Drs. Modell, Klein,
APPLEFELD JJ. Positive End-Expiratory Pressure Therapy. Ann Intern Med. ;79:762. doi: 10.7326/0003-4819-79-5-762_1
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Published: Ann Intern Med. 1973;79(5):762.
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