ACUTE SUPPURATIVE BRONCHITIS AND BRONCHIOLITIS IN CHRONIC PULMONARY DISEASE: DIAGNOSIS AND MANAGEMENT
Authors: L CARDON, L LEMBERG, R S GREENEBAUM
Journal: Annals of Internal Medicine (1951)

Article1 March 1951ACUTE SUPPURATIVE BRONCHITIS AND BRONCHIOLITIS IN CHRONIC PULMONARY DISEASE: DIAGNOSIS AND MANAGEMENTLEONARD CARDON, M.D., F.A.C.P., LOUIS LEMBERG, M.D., REGINA S. GREENEBAUM, M.D.LEONARD CARDON, M.D., F.A.C.P.Search for more papers by this author, LOUIS LEMBERG, M.D.Search for more papers by this author, REGINA S. GREENEBAUM, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-34-3-559 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAn episode of acute bronchitis ingrafted on chronic asthmatic bronchitis, emphysema, pulmonary fibrosis or bronchiectasis may so obstruct the bronchi as to precipitate an acute respiratory emergency and cause death by suffocation. A better understanding of the pathogenesis and pathologic physiology of this condition has made possible its earlier recognition and more effective treatment. The most valuable therapeutic measures are: repeated aspiration of the tracheo-bronchial tree, administration of oxygen in the highest possible concentration, and the use of bronchodilator, vasoconstrictor, chemotherapeutic and antibiotic agents by aerosol inhalation, orally and parenterally.PATHOLOGY AND PATHOLOGIC PHYSIOLOGYThe chronic pulmonary diseases whose presence...Bibliography1. Barach RL: Principles and practices of inhalational therapy, 1944, J. B. Lippincott Co., Philadelphia. Google Scholar2. Unger L: Bronchial asthma, 1945, Charles C. Thomas, Springfield, Ill. Google Scholar3. MotelyCoumandWerkoDresdaleHimmelsteinRichards HLALDTADW: Positive pressure breathing, J. A. M. A. 137: 370, 1948. MedlineGoogle Scholar4. Burns HL: Pneumatic balance resuscitator, Air Surg. Bull. 2: 306, 1945. Google Scholar5. Davison FW: Treatment of acute laryngotracheobronchitis, Arch. Otolaryng. 32: 320, 1940. CrossrefGoogle Scholar6. Haight C: Intratracheal suction in the management of postoperative pulmonary complications, Ann. Surg. 107: 218, 1938. CrossrefMedlineGoogle Scholar7. HaightRansome CHK: Observations on the prevention and treatment of postoperative atelectasis and bronchopneumonia, Ana. Surg. 114: 243, 1941. CrossrefMedlineGoogle Scholar8. Gillespie NA: Prolonged use of endotracheal tube, report of a case, Anesthesiology 3: 217, 1942. CrossrefGoogle Scholar9. Ioreffer R: Use of endotracheal tube in therapy of post-traumatic pulmonary secretions, Anesthesiology 7: 285, 1946. CrossrefMedlineGoogle Scholar10. Reference No. 1, p. 279. Google Scholar11. Albers CD: Use of a nebulizer to produce oxygenated vapor. Report of a case of acute laryngotracheobronchitis, Proc. Staff Meet., Mayo Clin. 18: 511, 1943. Google Scholar12. CraeserRowe JBAH: Inhalation of epinephrine for relief of asthmatic symptoms, J. Allergy 6: 415, 1935. CrossrefGoogle Scholar13. RichardsBarachCromwell DWALHA: Use of vaporized bronchodilator solutions in asthma and emphysema, a continuous inhalation method for severe asthmatic states, Am. J. M. Sc. 199: 225, 1940. CrossrefGoogle Scholar14. Prigal SJ: Studies with medicated aerosols—the use of lungs as a portal for the introduction of therapeutic agents for systemic effect, Ann. Int. Med. 28: 814, 1948. LinkGoogle Scholar15. GoodallUnger RJL: Continuous intravenous aminophyllin therapy in status asthmaticus, Ann. Allergy 5: 196, 1947. MedlineGoogle Scholar16. BarachSilbersteinOppenheimHunterSoroka ALFHETTM: Inhalation of penicillin aerosol in patients with bronchial asthma, chronic bronchitis, bronchiectasis and lung abscess, preliminary report, Ann. Int. Med. 22: 485, 1945. LinkGoogle Scholar17. SegalRyder MSCM: Penicillin aerosolization in the treatment of serious respiratory injections, preliminary report, New England J. Med. 203: 747, 1945. CrossrefGoogle Scholar18. Olsen AM: Streptomycin aerosol in the treatment of chronic bronchiectasis, preliminary report, Proc. Staff Meet. Mayo Clin. 21: 53, 1946. MedlineGoogle Scholar19. Stacey JW: Inhalations of nebulized solutions of sulfonamides in the treatment of bronchiectasis, Dis. of Chest 9: 303, 1943. Google Scholar20. Applebaum IL: The treatment of bronchial lesions by inhalation of nebulized solutions of sodium sulfathiazole, Dis. of Chest 10: 415, 1944. CrossrefGoogle Scholar21. MietchHoskins NHL: Inhalation of chemotherapeutic substances, Lancet 2: 775, 1944. CrossrefGoogle Scholar22. PrigalMcBovackSpeerHarris SJTHFDR: Aerosol penicillin, J. A. M. A. 134: 932, 1947. CrossrefMedlineGoogle Scholar23. BrysonGrace VEJ: Aerosol therapy of respiratory disease, report of 50 cases, New England J. Med. 237: 683, 1947. CrossrefMedlineGoogle Scholar24. PetroffSchain SAP: Enhancement of bactericidal properties of well known antiseptics by means of detergents, Quart. Bull. Sea View Hosp. 5: 372, 1940. Google Scholar25. PalitzHerman LM: Treatment of tuberculous and mixed infection empyema with new irrigating solutions, Quart. Bull. Sea View Hosp. 6: 181, 1941. Google Scholar26. KrasnoKarpRhoads LMPS: The inhalation of dust penicillin, Ann. Int. Med. 28: 607, 1948. LinkGoogle Scholar27. GilljanDingallMcDermott DRJAW: The parenteral use of sodium lactate solution in the prevention of renal complications from parenterally administered sodium sulfadiazine, Ann. Int. Med. 20: 604, 1944. LinkGoogle Scholar28. SchwartzFlippinReinholdDomm LHFJGAH: The effect of alkali on crystalluria from sulfathiazole and sulfadiazine, J. A. M. A. 117: 514, 1941. CrossrefGoogle Scholar29. ClimenkoBarlowWright DRCWAW: Influence of sodium bicarbonate in preventing renal lesions from massive doses of sulfathiazole, Arch. Path. 32: 889, 1941. Google Scholar30. FoxJensenMudge DLOJBH: The prevention of renal obstruction during sulfonamide therapy, J. A. M. A. 121: 1147, 1943. CrossrefGoogle Scholar31. GilljanGarbWheelerPlummer DRSCN: Adjuvant alkali therapy in the prevention of renal complications from sulfadiazine, J. A. M. A. 122: 1160, 1943. CrossrefGoogle Scholar32. Lehr D: Inhibition of drug precipitation in the urinary tract by the use of sulfonamide mixtures. I. Sulfathiazole-sulfadiazine mixture, Proc. Soc. Exper. Biol. and Med. 58: 11, 1945. CrossrefGoogle Scholar33. Lehr D: The prevention of renal complications by the therapeutic employment of sulfonamid mixtures. I. Sulfathiazole-sulfadiazine mixture, J. Urol. 55: 548, 1946. CrossrefMedlineGoogle Scholar34. FlippinReinhold HGJG: An evaluation of sulfonamide mixtures and various adjuvants for control of sulfonamide crystalluria, Ann. Int. Med. 25: 433, 1946. LinkGoogle Scholar35. ZellerHirshSweetDowling WWHLLKHF: Treatment of meningitis with sulfadiazine and sulfamerazine, J. A. M. A. 136: 8, 1948. CrossrefMedlineGoogle Scholar36. Barach AL: Comment in Queries and Minor Notes Section, J. A. M. A. 136: 512, 1948. Google Scholar37. Richards RL: Personal communication. Google Scholar38. BestTaylor CHNB: The physiological basis of medical practice, 4th Ed., 1945, Williams and Wilkins Co., Baltimore, p. 108. Google Scholar39. ComroeBahnsonCoates JHEREO: Mental changes in chronically anoxemic patients during oxygen therapy, J. A. M. A. 143: 1044-1048 (July 22) 1950. CrossrefMedlineGoogle Scholar40. Cardon L: Tracheobronchial aspiration with a urethral catheter, J. A. M. A. 142: 1039-1043 (April 8) 1950. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Recieved for publication March 5, 1949.From the Northwestern University Medical School, the Mount Sinai Hospital and the Cook County Hospital. Nextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited bySemimaligne Primärtumoren der Bronchien und LungenSekundäre maligne Tumoren der Bronchien und LungenXCI Acute Obstructing Bronchiolitis: A Medical Emergency 1 March 1951Volume 34, Issue 3Page: 559-591KeywordsAntibioticsAttentionBronchitisBronchodilatorsChemotherapeutic agentsInhalationOxygenPulmonary diseasesStreptomycinSulfonamide ePublished: 1 December 2008 Issue Published: 1 March 1951 Copyright & PermissionsCopyright, 1951, by The American College of PhysiciansPDF downloadLoading ...