MASSIVE ATELECTASIS FOLLOWING CYCLOPROPANE ANESTHESIA

Abstract
During the past two years, four deaths following quickly after the administration of cyclopropane have come to our attention. Autopsy, when performed, showed massive atelectasis of one or both lungs. Furthermore, pulmonary complications following long-continued cyclopropane anesthesia, especially for operation on the stomach,1have increased more than should be expected over the otherwise low incidence of such complications following the administration of cyclopropane.2 These facts we regard as sufficient reason for a critical examination of the physical conditions involved in the administration of cyclopropane. The relationship of these conditions to the development of massive atelectasis and the greater likelihood of subsequent development of partial atelectasis are considered in detail. In a paper of this nature we feel it necessary to state unequivocally our position on cyclopropane anesthesia. The manner of the introduction of this drug has been a model of careful statement and restraint. Even though completely revolutionary

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