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BRONCHOSCOPY IN THE NEWBORN: The Otolaryngologist's Contribution to Obstetrics

BRONCHOSCOPY IN THE NEWBORN: The Otolaryngologist's Contribution to Obstetrics Abstract RESUSCITATION of the newborn infant has always been a major problem to obstetricians. Many devices have been used, including stimulation by immersion in hot and cold water, mouth to mouth breathing, the administration of carbon dioxide and oxygen, drug stimulation (methyl alpha-lobeline, caffeine, nikethamide [coramine], pentylenetetrazole [metrazol®]), suspension of the infant with the head down, the application of ether to, and blowing on, the body, smacking the feet and folding the infant, somewhat in the manner that an accordian is manipulated, slapping, artificial respiration, cleansing of the nose, mouth and larynx and the use of the catheter in an attempt to aspirate the trachea. This last-named method, while it represents a practical approach to the problem, is inadequate. I realize that some experienced obstetricians have especial confidence in this method, but I have never been especially impressed by it. It is a blind approach. The catheter is more likely to References 1. Goff, W. F.: Respiratory Emergencies in the Newborn , West. J. Surg. 57:49, 1949. 2. Woodward, F. D., and Waddell, W. W., Jr.: Bronchoscopy in the Newborn Infant , J. Pediat. 23:79, 1943.Crossref 3. House, H. P., and Owens, P.: Atelectasis of the Newborn: Treatment by Bronchoscopic Drainage , J. Pediat. 28:207, 1946.Crossref 4. Heatly, C. A., and Emerson, E. B., Jr.: Bronchoscopy of the Newborn: An Analysis of 50 Cases , Ann. Otol., Rhin. & Laryng. 57:802, 1948. 5. Jackson, C. C. R.: Bronchoscopy in the Newborn , Ohio State M. J. 46:869, 1950. 6. Holinger, P. H.; Johnson, K. C., and Zoss, A. R.: Tracheal and Bronchial Obstruction Due to Congenital Cardiovascular Anomalies , Ann. Otol., Rhin. & Laryng. 57:808, 1948. 7. Patterson, J. C., and Farr, J. T.: Pulmonary Collapse as a Cause of Neonatal Deaths , Canad. M. A. J. 41:31, 1939. 8. Snyder, F. F., and Rosenfeld, M. J.: Intra-Uterine Respiratory Movements of the Human Fetus , J. A. M. A. 108:1946 ( (June 5) ) 1937. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Otolaryngology American Medical Association

BRONCHOSCOPY IN THE NEWBORN: The Otolaryngologist's Contribution to Obstetrics

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Publisher
American Medical Association
Copyright
Copyright © 1951 American Medical Association. All Rights Reserved.
ISSN
0096-6894
DOI
10.1001/archotol.1951.03750040042004
Publisher site
See Article on Publisher Site

Abstract

Abstract RESUSCITATION of the newborn infant has always been a major problem to obstetricians. Many devices have been used, including stimulation by immersion in hot and cold water, mouth to mouth breathing, the administration of carbon dioxide and oxygen, drug stimulation (methyl alpha-lobeline, caffeine, nikethamide [coramine], pentylenetetrazole [metrazol®]), suspension of the infant with the head down, the application of ether to, and blowing on, the body, smacking the feet and folding the infant, somewhat in the manner that an accordian is manipulated, slapping, artificial respiration, cleansing of the nose, mouth and larynx and the use of the catheter in an attempt to aspirate the trachea. This last-named method, while it represents a practical approach to the problem, is inadequate. I realize that some experienced obstetricians have especial confidence in this method, but I have never been especially impressed by it. It is a blind approach. The catheter is more likely to References 1. Goff, W. F.: Respiratory Emergencies in the Newborn , West. J. Surg. 57:49, 1949. 2. Woodward, F. D., and Waddell, W. W., Jr.: Bronchoscopy in the Newborn Infant , J. Pediat. 23:79, 1943.Crossref 3. House, H. P., and Owens, P.: Atelectasis of the Newborn: Treatment by Bronchoscopic Drainage , J. Pediat. 28:207, 1946.Crossref 4. Heatly, C. A., and Emerson, E. B., Jr.: Bronchoscopy of the Newborn: An Analysis of 50 Cases , Ann. Otol., Rhin. & Laryng. 57:802, 1948. 5. Jackson, C. C. R.: Bronchoscopy in the Newborn , Ohio State M. J. 46:869, 1950. 6. Holinger, P. H.; Johnson, K. C., and Zoss, A. R.: Tracheal and Bronchial Obstruction Due to Congenital Cardiovascular Anomalies , Ann. Otol., Rhin. & Laryng. 57:808, 1948. 7. Patterson, J. C., and Farr, J. T.: Pulmonary Collapse as a Cause of Neonatal Deaths , Canad. M. A. J. 41:31, 1939. 8. Snyder, F. F., and Rosenfeld, M. J.: Intra-Uterine Respiratory Movements of the Human Fetus , J. A. M. A. 108:1946 ( (June 5) ) 1937.

Journal

A.M.A. Archives of OtolaryngologyAmerican Medical Association

Published: Apr 1, 1951

References