An Evaluation of Tracheostomy in Pulmonary Emphysema
Authors: JAMES H. CULLEN
Journal: Annals of Internal Medicine (1963)

Article1 June 1963An Evaluation of Tracheostomy in Pulmonary EmphysemaJAMES H. CULLEN, M.D., F.A.C.P.JAMES H. CULLEN, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-58-6-953 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptOther than for relief of obstruction at or above the larynx, tracheostomy is usually performed to facilitate the removal of secretions and improve the efficiency of ventilation. If the only purpose of a tracheostomy in a patient with severe pulmonary emphysema is to remove pulmonary secretions retained because of inability to cough, then the tracheostomy should be removed as soon as the emergency is over, or should be closed most of the time and opened only for intratracheal aspiration as in the plastic flap-type procedure devised by Rockeyet al. (1). It has been shown by Tyler (2) and by...References1. ROCKEYTHOMPSONEPSTEINWESSERMANAHN EESAIGEK: Tracheal fenestration as a new method for the therapeutic management of chronic pulmonary diseases and for the experimental exploration of the bronchial tree. Amer. Rev. Tuberc. 78: 815, 1958. Google Scholar2. TYLER JM: Failure to improve effective ventilation on shifting from mouth to tracheostomy breathing in clinically stable emphysema. New Eng. J. Med. 265: 414, 1961. CrossrefMedlineGoogle Scholar3. KIMFROEB BMHF: Tracheotomy and physiologic dead space in emphysema. Clin. Res. 10: 258, 1962. Google Scholar4. VAN SLYKENEILL DDJM: The determination of gases in blood and other solutions by vacuum extraction and manometric measurement. VIII. Combined determination of O2 and CO2 in blood. J. Biol. Chem. 61: 561, 1924. CrossrefGoogle Scholar5. ROUGHTONDARLINGROOT FJRCWS: Factors effecting determination of oxygen capacity, content and pressure in human blood. Amer. J. Physiol. 142: 708, 1944. CrossrefGoogle Scholar6. FILLEYMACINTOSHWRIGHT GFDJGW: Carbon monoxide uptake and pulmonary diffusing capacity in normal subjects at rest and during exercise. J. Clin. Invest. 33: 530, 1954. CrossrefMedlineGoogle Scholar7. FRANKMEADFERRIS NRJBG: The mechanical behavior of the lungs in healthy elderly persons. J. Clin. Invest. 36: 1680, 1957. CrossrefMedlineGoogle Scholar8. FERRISPOLLARD BGDS: The effect of tracheostomy tubes on the resistance to breathing and pulmonary resistance in patients with poliomyelitis. New Eng. J. Med. 263: 1048, 1960. CrossrefMedlineGoogle Scholar9. FERRISOPIEMEAD BGLJ: Partitioning of the respiratory resistance in man. Fed. Proc. 19: 377, 1960. Google Scholar10. HYATTWILCOX RERE: Partition of pulmonary flow resistance into upper and lower airway components. Ibid: 376, 1960. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Albany, New YorkFrom the Medical Service, Albany Veterans Administration Hospital, and Albany Medical College, Albany, New York.Requests for reprints should be addressed to James H. Cullen, M.D., Medical Service, Veterans Administration Hospital, Albany, New York. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byVentilation and diaphragm activity during sustained hypoxia in awake caninesPhysiologic and Pathophysiologic Responses to IntubationLa traqueotomía no mejora el espacio muerto respecto a la intubación translaríngeaPhysiologic and Pathophysiologic Responses to IntubationControlled Mechanical VentilationThe Role of Dead Space Ventilation in Predicting Outcome of Successful Weaning from Mechanical VentilationPulmonary Mechanics in Patients with Prolonged Mechanical Ventilation Requiring TracheostomyA Pressure Targeted Approach to VentilatingRespiratory effects of tracheal gas insufflation in spontaneously breathing COPD patientsPHYSIOLOGIC AND PATHOPHYSIOLOGIC RESPONSES TO INTUBATIONPressure-targeted, Lung-protective Ventilatory Support in Acute Lung InjuryPhysiologic Implications of Artificial AirwaysSurgical Management of EmphysemaSurgery for EmphysemaTHE IMPORTANCE OF FREQUENTLY REPEATED ARTERIAL BLOOD GAS STUDIES IN SEVERE CHRONIC BRONCHITIS: REPORT OF A CASE 1 June 1963Volume 58, Issue 6Page: 953-960KeywordsEmphysemaLarynxMedical servicesRespirationTracheostomy Issue Published: 1 June 1963 PDF downloadLoading ...