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Full-Text Articles in Medicine and Health Sciences

Diseases Which Mimic Asthma And Chronic Obstructive Pulmonary Disease (Copd), George W. Burke Iii Jan 1979

Diseases Which Mimic Asthma And Chronic Obstructive Pulmonary Disease (Copd), George W. Burke Iii

MCV/Q, Medical College of Virginia Quarterly

The American Thoracic Society defines asthma as a disease characterized by increased responsiveness of the trachea and bronchi to various stimuli and manifested by widespread narrowing of the airways that changes in severity either spontaneously or as a result of therapy. In this context asthma is a physiologic diagnosis. It is most often recognized when a patient complains of episodic wheezing and dyspnea and most often confirmed by the demonstration of variable airways obstruction on spirometric testing.


Mcv/Q, Medical College Of Virginia Quarterly, Vol. 15 No. 3 Jan 1979

Mcv/Q, Medical College Of Virginia Quarterly, Vol. 15 No. 3

MCV/Q, Medical College of Virginia Quarterly

No abstract provided.


Non-Ventilator Management Of Respiratory Failure: The Ventimask, William B. Hunt Jr. Jan 1973

Non-Ventilator Management Of Respiratory Failure: The Ventimask, William B. Hunt Jr.

MCV/Q, Medical College of Virginia Quarterly

This paper will detail the conservative management of acute respiratory failure in patients with chronic respiratory failure due to chronic bronchitis and emphysema. It is important to recognize that this is a very specific group of patients. They have had a chronic hypoxia and hypercarbia for months or years preceding their current episode of acute respiratory failure.


Principles Of Inhalation Therapy, Walter J. O'Donohue Jr. Jan 1973

Principles Of Inhalation Therapy, Walter J. O'Donohue Jr.

MCV/Q, Medical College of Virginia Quarterly

With the increasing complexity of ventilatory equipment and the rapid development of new techniques for respiratory care, it has become progressively more difficult for the average physician to keep pace with clinical and technical advancements. The management of acute respiratory failure is now a demanding art which requires a broad knowledge of cardiopulmonary physiology and sophistication in the use of complicated equipment. Careful attention to detail is often the critical factor that determines survival. The mortality from acute respiratory failure has been substantially reduced in respiratory intensive care units where there are well trained teams of physicians, nurses, and technicians …


How To Get Patients On And Off Respirators, Terring W. Heironimus Iii Jan 1973

How To Get Patients On And Off Respirators, Terring W. Heironimus Iii

MCV/Q, Medical College of Virginia Quarterly

This title implies that one has already decided that one's patient needs to be artificially ventilated, that is, that he is in respiratory failure. How does one diagnose respiratory failure? Much of what I have to say in this regard is in terms of arbitrary limits, values, and guidelines. Since these guidelines are arbitrary, there may exist legitimate grounds for differences of opinion about some of them. However, we have found these guidelines to be quite helpful, and experience would indicate that they are reasonable.


Complications Of Mechanical Ventilation, Orhan Muren Jan 1973

Complications Of Mechanical Ventilation, Orhan Muren

MCV/Q, Medical College of Virginia Quarterly

With increasing utilization of mechanical ventilation during the past decade or so, complications related to its use have also increased. Ventilators are primarily indicated when acceptable safe levels of oxygenation and ventilation cannot be maintained by other means.


Postoperative Ventilatory Care, Terring W. Heironimus Iii Jan 1972

Postoperative Ventilatory Care, Terring W. Heironimus Iii

MCV/Q, Medical College of Virginia Quarterly

Postoperative ventilatory care implies that some significant percentage of surgical patients cannot breathe adequately in the postsurgical state and need to be appropriately assisted in order to do so. It further implies that there may be some difficulty in or complication resulting from such care. Both implications are correct.


The Shame Of American Medicine, Elinor Langer Jan 1966

The Shame Of American Medicine, Elinor Langer

MCV/Q, Medical College of Virginia Quarterly

The success of American medicine is often attributed to the profession's ability to serve the public on its own terms. Why should doctors care if, from the patient's point of view, the terms chosen--solo practice and emphasis on the "doctor-patient relationship"--mean that a doctor performs unsupervised services for unregulated fees? What does it matter to them that the poor are outside the system altogether, treated in charity wards or public hospitals which are the medical equivalent of Andrew Carnegie's libraries, a small concession to charity from an accelerating machine of wealth, power, and influence? In a country proud of its …