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POSTOPERATIVE PULMONARY COMPLICATIONS

POSTOPERATIVE PULMONARY COMPLICATIONS Abstract Introduction: Importance of subject. Apparent increase in incidence due to better records. Review of Literature: Dearth of American and English studies. Statistical tables. Irritation vs. embolism as contributing causes. The rôle of the anesthetic. Presentation of Material: Fifty-five complications, eleven deaths in 1,562 operations. Division into groups. Discussion of groups. General Discussion: General factors, age, incidence by seasons, relation to kind of anesthesia. The part chilling, trauma, general condition, anesthesia, preexisting pulmonary disease and sepsis play. Discussion of the mechanism of embolism. Summary and Conclusions: Embolism the chief factor. Prophylaxis by selection of cases, reduction of sepsis and trauma and careful anesthesia. INTRODUCTION In the last twenty years with the rapid development of surgery, its spread to ever widening fields and the brilliancy of many of its therapeutic results, much of the wholesome respect for the dangers involved in even a simple operation, which lay so heavy on our forebears, References 1. Richardson: Boston M. & S. J. 159:711-716, 752-756, 791-795, 1908. 2. Cutler, E. C., and Morton, J. J.: Surg., Gynec. & Obst. 25:621 ( (Dec.) ) 1917. 3. Whipple A. O.: Surg., Gynec. & Obst. 26:29 ( (Jan.) ) 1918. 4. Schultze: Med. and Surg. Reports , Presbyterian Hospital, New York, January, 1898. 5. Whipple, A. O.: Med. Rec. 89:581, 1916. 6. Henle: Verhandl. d. deutsch. Gesellsch. f. Chir. 30:240, 1901. 7. Beckman, E. H.: Collected Papers Mayo Clinic , Philadelphia, W. B. Saunders Company, 1913, p. 776. 8. Armstrong: Brit. M. J. 1:1141, 1906. 9. Ranzi: Arch. f. klin. Chir. 87:380, 1908. 10. Otte: München. med. Wchnschr. 54:2473, 1907. 11. Laewen: Zentralbl. f. Chir. 4:96, 1907 12. Beitr. z. klin. Chir. 50:2, 1906. 13. Bibergeil: Arch. f. klin. Chir. 78:339, 1905. 14. Pfannensteil: Zentralbl. f. Gynäk. , 1903, No. (1) . 15. Kroenlein: Verhandl. d. deutsch. Gesellsch. f. Chir. 34:131, 1905. 16. Mikulicz: Verhandl. d. deutsch. Gesellsch. f. Chir. 30:560, 1901. 17. Von Lichtenberg, A.: München. med. Wchnschr. 53:2286, 1906 18. Centralbl. f. d. Grenzgeb. d. Med. u. Chir. 11:129, 1908. 19. Czerny: Verhandl. d. deutsch. Gesellsch. f. Chir. 34:109, 1905. 20. Kelling: Verhandl. d. deutsch. Gesellsch. f. Chir. 34:136, 1905. 21. Osler, William, and McCrae, Thomas: Modern Medicine , Philadelphia, Lea and Febiger, 1913, 1:202. 22. Stillman, E. G.: J. Exper. Med. 24:651 ( (Dec.) ) 1916. 23. Dochez and Cole, in Forchheimer's Therapeusis of Internal Diseases , New York, D. Appleton & Co., 1914, 5:470. 24. Wadsworth: Am. J. M. Sc. 127:851, 1904. 25. Laewen: Footnote 11, second reference. 26. Sabin, F. R.: Science 44 (N. S.):145, 1916. 27. Gee and Horder, in Allbutt and Rolleston's System of Medicine , New York, the Macmillan Company, 1910, 5:536. 28. Homans, J.: Johns Hopkins Hosp. Bull. 20:125, 1909. 29. Wilson: Collected Papers Mayo Clinic , Philadelphia, W. B. Saunders Company, 1912, p. 727. 30. Burnham: Surg., Gynec. & Obst. 19:468, 1914. 31. Gottstein: Arch. f. klin. Chir. 57:409, 1898. 32. Poppert: Deutsch. Ztschr. f. Chir. 67:505, 1902. 33. Offergeld: Arch. f. klin. Chir. 83:505, 1907. 34. Hoelscher: Arch. f. klin. Chir. 57:175, 1898. 35. Ladd, W. E., and Osgood, G.: Ann. Surg. 46:460 (Sept.) 1907. 36. Bevan, A. D.: Tr. Am. Surg. A. 33:21. 1915 37. Bevan Tr. Am. Surg. A. 29:177, 1911. 38. Keen: Boston M. & S. J. 173:831, 1915. 39. Herb. I. C.: Ether: Simplicity in Its Administration , J. A. M. A. 66: 1376 ( (April 29) ) 1916. 40. Gatch: Tr. Am. Surg. A. 29:196, 1911. 41. Osler, William: Principles and Practice of Medicine , New York, D. Appleton & Co., 1910. 42. Krehl and Marchand: Handb. der Allgem. Pathologie , Leipzig, Hirzel, 1908, 1:108. 43. Miller, J. A., and Noble, W. C.: J. Exper. Med. 24:223 ( (Sept.) ) 1916. 44. Hill: Brit. Med. Research Committee , 1919, S. R. Series 32. 45. Mudd, S., and Grant, S. B.: J. M. Research 40:53 ( (May) ) 1919. 46. Huntington, E.: Mod. Med. 1:13 ( (May) ) 1919 47. Huntington Mod. Med. 14:10 ( (May) ) 1920. 48. Woillez: Traité cliniques der maladies aigués des organes respiratoire , Paris, 1872. 49. Henderson: Collected Papers Mayo Clinic , Philadelphia, W. B. Saunders Company, 1913, p. 701. 50. Boothby, W. M.: Team Work , J. A. M. A. 67:539 ( (Aug. 12) ) 1916 51. J. Pharmacol. & Exper. Therap. 5:379, 1914. 52. Magaw: Surg., Gynec. & Obst. 3:795, 1906. 53. Mortimer: Med. Press., 1919, N. S., CVIII, 505. 54. Lord, F. T., in discussion on Robinson, Samuel: Thoracic Diseases , J. A. M. A. 67:556 ( (Aug. 19) ) 1916 55. Footnotes 3, 9 and 16, second reference. 56. Balfour: Collected Papers Mayo Clinic , Philadelphia, W. B. Saunders Company, 1913, p. 743. 57. Kelly: Brit. M. J. 2:17, 1912.Crossref 58. McCann, F. J.: Brit. M. J. 1:277 ( (March 9) ) 1918.Crossref 59. Frank, L.: Surg., Gynec. & Obst. 30:185 ( (Feb.) ) 1920. 60. Hamburger, H. J.: Brit. M. J. 1:37 ( (Jan. 8) ) 1916. 61. McKesson, E. I.: Am. J. S. (Anesthesia supp.) 32:16 ( (Jan.) ) 1918. 62. Turner: Proc. Roy. Soc. Med., 1912-1913, Odontological Sec., 79. 63. In addition to the references already given, the following will be found of interest: Birtch, F. W.: California State J. M. 16:200 ( (April) ) 1918. 64. Gerulanos: Deutsch. Ztschr. f. Chir. 57:382. 65. Henle: Arch. f. klin. Chir. 64:339, 1901. 66. Robb and Dittrick: Surg., Gynec. & Obst. 3:51, 1906. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

POSTOPERATIVE PULMONARY COMPLICATIONS

Archives of Surgery , Volume 1 (1) – Jul 1, 1920

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References (16)

Publisher
American Medical Association
Copyright
Copyright © 1920 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1920.01110010127008
Publisher site
See Article on Publisher Site

Abstract

Abstract Introduction: Importance of subject. Apparent increase in incidence due to better records. Review of Literature: Dearth of American and English studies. Statistical tables. Irritation vs. embolism as contributing causes. The rôle of the anesthetic. Presentation of Material: Fifty-five complications, eleven deaths in 1,562 operations. Division into groups. Discussion of groups. General Discussion: General factors, age, incidence by seasons, relation to kind of anesthesia. The part chilling, trauma, general condition, anesthesia, preexisting pulmonary disease and sepsis play. Discussion of the mechanism of embolism. Summary and Conclusions: Embolism the chief factor. Prophylaxis by selection of cases, reduction of sepsis and trauma and careful anesthesia. INTRODUCTION In the last twenty years with the rapid development of surgery, its spread to ever widening fields and the brilliancy of many of its therapeutic results, much of the wholesome respect for the dangers involved in even a simple operation, which lay so heavy on our forebears, References 1. Richardson: Boston M. & S. J. 159:711-716, 752-756, 791-795, 1908. 2. Cutler, E. C., and Morton, J. J.: Surg., Gynec. & Obst. 25:621 ( (Dec.) ) 1917. 3. Whipple A. O.: Surg., Gynec. & Obst. 26:29 ( (Jan.) ) 1918. 4. Schultze: Med. and Surg. Reports , Presbyterian Hospital, New York, January, 1898. 5. Whipple, A. O.: Med. Rec. 89:581, 1916. 6. Henle: Verhandl. d. deutsch. Gesellsch. f. Chir. 30:240, 1901. 7. Beckman, E. H.: Collected Papers Mayo Clinic , Philadelphia, W. B. Saunders Company, 1913, p. 776. 8. Armstrong: Brit. M. J. 1:1141, 1906. 9. Ranzi: Arch. f. klin. Chir. 87:380, 1908. 10. Otte: München. med. Wchnschr. 54:2473, 1907. 11. Laewen: Zentralbl. f. Chir. 4:96, 1907 12. Beitr. z. klin. Chir. 50:2, 1906. 13. Bibergeil: Arch. f. klin. Chir. 78:339, 1905. 14. Pfannensteil: Zentralbl. f. Gynäk. , 1903, No. (1) . 15. Kroenlein: Verhandl. d. deutsch. Gesellsch. f. Chir. 34:131, 1905. 16. Mikulicz: Verhandl. d. deutsch. Gesellsch. f. Chir. 30:560, 1901. 17. Von Lichtenberg, A.: München. med. Wchnschr. 53:2286, 1906 18. Centralbl. f. d. Grenzgeb. d. Med. u. Chir. 11:129, 1908. 19. Czerny: Verhandl. d. deutsch. Gesellsch. f. Chir. 34:109, 1905. 20. Kelling: Verhandl. d. deutsch. Gesellsch. f. Chir. 34:136, 1905. 21. Osler, William, and McCrae, Thomas: Modern Medicine , Philadelphia, Lea and Febiger, 1913, 1:202. 22. Stillman, E. G.: J. Exper. Med. 24:651 ( (Dec.) ) 1916. 23. Dochez and Cole, in Forchheimer's Therapeusis of Internal Diseases , New York, D. Appleton & Co., 1914, 5:470. 24. Wadsworth: Am. J. M. Sc. 127:851, 1904. 25. Laewen: Footnote 11, second reference. 26. Sabin, F. R.: Science 44 (N. S.):145, 1916. 27. Gee and Horder, in Allbutt and Rolleston's System of Medicine , New York, the Macmillan Company, 1910, 5:536. 28. Homans, J.: Johns Hopkins Hosp. Bull. 20:125, 1909. 29. Wilson: Collected Papers Mayo Clinic , Philadelphia, W. B. Saunders Company, 1912, p. 727. 30. Burnham: Surg., Gynec. & Obst. 19:468, 1914. 31. Gottstein: Arch. f. klin. Chir. 57:409, 1898. 32. Poppert: Deutsch. Ztschr. f. Chir. 67:505, 1902. 33. Offergeld: Arch. f. klin. Chir. 83:505, 1907. 34. Hoelscher: Arch. f. klin. Chir. 57:175, 1898. 35. Ladd, W. E., and Osgood, G.: Ann. Surg. 46:460 (Sept.) 1907. 36. Bevan, A. D.: Tr. Am. Surg. A. 33:21. 1915 37. Bevan Tr. Am. Surg. A. 29:177, 1911. 38. Keen: Boston M. & S. J. 173:831, 1915. 39. Herb. I. C.: Ether: Simplicity in Its Administration , J. A. M. A. 66: 1376 ( (April 29) ) 1916. 40. Gatch: Tr. Am. Surg. A. 29:196, 1911. 41. Osler, William: Principles and Practice of Medicine , New York, D. Appleton & Co., 1910. 42. Krehl and Marchand: Handb. der Allgem. Pathologie , Leipzig, Hirzel, 1908, 1:108. 43. Miller, J. A., and Noble, W. C.: J. Exper. Med. 24:223 ( (Sept.) ) 1916. 44. Hill: Brit. Med. Research Committee , 1919, S. R. Series 32. 45. Mudd, S., and Grant, S. B.: J. M. Research 40:53 ( (May) ) 1919. 46. Huntington, E.: Mod. Med. 1:13 ( (May) ) 1919 47. Huntington Mod. Med. 14:10 ( (May) ) 1920. 48. Woillez: Traité cliniques der maladies aigués des organes respiratoire , Paris, 1872. 49. Henderson: Collected Papers Mayo Clinic , Philadelphia, W. B. Saunders Company, 1913, p. 701. 50. Boothby, W. M.: Team Work , J. A. M. A. 67:539 ( (Aug. 12) ) 1916 51. J. Pharmacol. & Exper. Therap. 5:379, 1914. 52. Magaw: Surg., Gynec. & Obst. 3:795, 1906. 53. Mortimer: Med. Press., 1919, N. S., CVIII, 505. 54. Lord, F. T., in discussion on Robinson, Samuel: Thoracic Diseases , J. A. M. A. 67:556 ( (Aug. 19) ) 1916 55. Footnotes 3, 9 and 16, second reference. 56. Balfour: Collected Papers Mayo Clinic , Philadelphia, W. B. Saunders Company, 1913, p. 743. 57. Kelly: Brit. M. J. 2:17, 1912.Crossref 58. McCann, F. J.: Brit. M. J. 1:277 ( (March 9) ) 1918.Crossref 59. Frank, L.: Surg., Gynec. & Obst. 30:185 ( (Feb.) ) 1920. 60. Hamburger, H. J.: Brit. M. J. 1:37 ( (Jan. 8) ) 1916. 61. McKesson, E. I.: Am. J. S. (Anesthesia supp.) 32:16 ( (Jan.) ) 1918. 62. Turner: Proc. Roy. Soc. Med., 1912-1913, Odontological Sec., 79. 63. In addition to the references already given, the following will be found of interest: Birtch, F. W.: California State J. M. 16:200 ( (April) ) 1918. 64. Gerulanos: Deutsch. Ztschr. f. Chir. 57:382. 65. Henle: Arch. f. klin. Chir. 64:339, 1901. 66. Robb and Dittrick: Surg., Gynec. & Obst. 3:51, 1906.

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Archives of SurgeryAmerican Medical Association

Published: Jul 1, 1920

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