OBSERVATIONS ON THE USE OF THE RESPIRATOR IN REFRACTORY STATUS ASTHMATICUS

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Abstract
The use of anesthesia plus the Drinker Respirator for artificial respiration, with active support of expiration, is suggested as an additional tool in the armamentarium of therapy for acute status asthmaticus. The pathological physiology of acute intractable asthma is discussed in relation to the rationale of this form of treatment. Three cases treated in this manner are presented and in each, prompt and satisfactory relief of anoxemia was accomplished and maintained until bronchiolar spasm had undergone remission. It is of utmost importance that the therapy be instituted early in the course, before irreversible changes have appeared, or other grave complications have had time to gain foothold. This maneuver is not suggested as a substitute for other well-established methods of treatment, but rather as an adjunct to them in refractory cases.

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