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A RECONSIDERATION OF THE QUESTION OF THE EFFECTS OF AN OPEN PNEUMOTHORAX

A RECONSIDERATION OF THE QUESTION OF THE EFFECTS OF AN OPEN PNEUMOTHORAX Abstract One of the most fundamental necessities for the progress of thoracic surgery is a better understanding of the physiology involved. Of the physiologic problems, there is none more important than an accurate knowledge of just what happens when an opening is made in the chest. The effects of open pneumothorax, therefore, should be studied and discussed until as much knowledge as possible has been obtained on this subject. My reason for presenting the matter again is chiefly to encourage a more accurate study of the problem and to dispense with much of the conjecture which exists in the literature. In 1918, in association with R. D. Bell,1 I reported the results of experiments both on human cadavers and on animals which seemed to change the existing conceptions of the effects of an open pneumothorax. The most important finding in our experiments was that in a normal thorax, one in References 1. Graham, E. A., and Bell, R. D.: Open Pneumothorax: Its Relation to the Treatment of Empyema , Am. J. M. Sc. 156:839 ( (Dec.) ) 1918.Crossref 2. Garré: Der Pneumothorax , III Congrès de la Soc. internat. de chir. 1, 1911. 3. Duval, P.: Les données actuelles de la chirurgie intrathoracique unilatérale en plèvre libre , Presse méd. 30:409 ( (May 13) ) 1922. 4. Graham, E. A.: Principes qui découlent de la chirurgie intrathoracique , Presse méd. 31:141 ( (Feb. 14) ) 1923. 5. Peabody, F. W., and Wentworth, J. A.: The Vital Capacity of the Lungs and Its Relation to Dyspnea , Arch. Int. Med. 20:443 ( (Sept.) ) 1917.Crossref 6. Graham, E. A.: Importance of the Vital Capacity in Thoracic Surgery , J. A. M. A. 75:992 ( (Oct. 9) ) 1920.Crossref 7. Yates, J. L.: Effects of Acute and Chronic Pneumothorax (A Preliminary Report) , Am. J. M. Sc. 165:1 ( (Jan.) ) 1923. 8. Dautrebande and Spehl: Les Causes de la dyspnée et de la mort dans le pneumothorax ouvert , Bull. de l'Acad. roy. de méd. de belg. , (November) , 1922. 9. Stivelman, B. P.; Hennell, Herman, and Golembe, Harry: Clinical Significance of Altered Intrathoracic Equilibrium in Pneumothorax , J. A. M. A. 78:1450 ( (May 13) ) 1922.Crossref 10. Simon, S.: Effect of Artificial Pneumothorax on Collateral Lung , Am. Rev. Tuberc. 5:620 ( (Oct.) ) 1921. 11. Lenhart, C. H.: Open Pneumothorax; an Experimental Study of the Functional Pathology of Sucking Chest Wounds , Arch. Surg. 1:336 ( (Sept.) ) 1920.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

A RECONSIDERATION OF THE QUESTION OF THE EFFECTS OF AN OPEN PNEUMOTHORAX

GRAHAM, EVARTS A.
Archives of Surgery , Volume 8 (1) – Jan 1, 1924
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References (11)

Publisher
American Medical Association
Copyright
Copyright © 1924 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1924.01120040356019
Publisher site
See Article on Publisher Site

Abstract

Abstract One of the most fundamental necessities for the progress of thoracic surgery is a better understanding of the physiology involved. Of the physiologic problems, there is none more important than an accurate knowledge of just what happens when an opening is made in the chest. The effects of open pneumothorax, therefore, should be studied and discussed until as much knowledge as possible has been obtained on this subject. My reason for presenting the matter again is chiefly to encourage a more accurate study of the problem and to dispense with much of the conjecture which exists in the literature. In 1918, in association with R. D. Bell,1 I reported the results of experiments both on human cadavers and on animals which seemed to change the existing conceptions of the effects of an open pneumothorax. The most important finding in our experiments was that in a normal thorax, one in References 1. Graham, E. A., and Bell, R. D.: Open Pneumothorax: Its Relation to the Treatment of Empyema , Am. J. M. Sc. 156:839 ( (Dec.) ) 1918.Crossref 2. Garré: Der Pneumothorax , III Congrès de la Soc. internat. de chir. 1, 1911. 3. Duval, P.: Les données actuelles de la chirurgie intrathoracique unilatérale en plèvre libre , Presse méd. 30:409 ( (May 13) ) 1922. 4. Graham, E. A.: Principes qui découlent de la chirurgie intrathoracique , Presse méd. 31:141 ( (Feb. 14) ) 1923. 5. Peabody, F. W., and Wentworth, J. A.: The Vital Capacity of the Lungs and Its Relation to Dyspnea , Arch. Int. Med. 20:443 ( (Sept.) ) 1917.Crossref 6. Graham, E. A.: Importance of the Vital Capacity in Thoracic Surgery , J. A. M. A. 75:992 ( (Oct. 9) ) 1920.Crossref 7. Yates, J. L.: Effects of Acute and Chronic Pneumothorax (A Preliminary Report) , Am. J. M. Sc. 165:1 ( (Jan.) ) 1923. 8. Dautrebande and Spehl: Les Causes de la dyspnée et de la mort dans le pneumothorax ouvert , Bull. de l'Acad. roy. de méd. de belg. , (November) , 1922. 9. Stivelman, B. P.; Hennell, Herman, and Golembe, Harry: Clinical Significance of Altered Intrathoracic Equilibrium in Pneumothorax , J. A. M. A. 78:1450 ( (May 13) ) 1922.Crossref 10. Simon, S.: Effect of Artificial Pneumothorax on Collateral Lung , Am. Rev. Tuberc. 5:620 ( (Oct.) ) 1921. 11. Lenhart, C. H.: Open Pneumothorax; an Experimental Study of the Functional Pathology of Sucking Chest Wounds , Arch. Surg. 1:336 ( (Sept.) ) 1920.Crossref

Journal

Archives of Surgery – American Medical Association

Published: Jan 1, 1924

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