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Abstracts |

The Management of Severe Pulmonary Emphysema.

H. A. Lyons, M.D., F.A.C.P.; W. H. Becker, M.D.; G. Emmanuel, M.D.; and G. E. Torres, M.D.
Ann Intern Med. 1961;54(5):1059. doi:10.7326/0003-4819-54-5-1059_2
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The increasing incidence of obstructive pulmonary emphysema in our population demands critical appraisal of its therapeutic management. The impression is common that patients who suffer from such an advanced respiratory problem, and who become comatose, are beyond aid. This attitude is not sound. The present study will demonstrate 15 severely ill comatose patients who were treated by tracheotomy, intermittent positive pressure breathing, oxygen, and antibiotics: they recovered and continued to live for periods varying from two to four years. Serial arterial blood gases and other pulmonary modalities will be discussed. Arterial oxygen saturations as low as 40% were seen, with


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