A modern concept of pulmonary collapse

Hoffstaedt, E.G.W.

doi:10.1016/s0041-3879(53)80082-6

Cited by 4 publications

(2 citation statements)

References 19 publications

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“…It is evident, then, that the aspiration of vomitus containing hydrochloric acid has a violent irritative action on the bronchial tree, producing bronchial spasm, and that some of the fluid must reach the capillary bronchioles and even the alveoli with the production of an acute inflammatory reaction. The patchy areas of collapse may be due to absorption of air due to the obstruction by spasm of certain of the bronchi, but it must be borne in mind that, as Hoffstaedt (1953) points out in a review of the condition of pulmonary atelectasis, there is a possibility of an endobronchial reflex being the cause of the collapse.…”

Section: Results Of Irritationmentioning

confidence: 99%

The Effect of the Inhalation of Vomitus on the Lungs: Morbid Anatomy

Rannie¹

1963

British Journal of Anaesthesia

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The effect of the inhalation of vomitus will depend on whether the material is entirely liquid or contains large fragments. In the latter case, the result will be suffocation or, if the obstruction be less complete, massive collapse of a portion of lung accompanied by mediastinal shift. If the vomitus be fluid, there results the asthma-like syndrome named after Mendelson, who first drew attention to it. The irritative effect of the fluid vomitus is due to its hydrochloric acid content, and the acute inflammatory response is due to this chemical irritant. Pathogenic organisms are not usually present in this material, so that resolution occurs in a relatively short time, although artificial respiration may be required to tide the patients over the acute attack. In those few cases where pneumonia has resulted, contamination of the vomit as a result of oral sepsis has been suggested. Attention is also drawn to the importance of laryngeal malfunction in connection with the pulmonary syndrome in the newborn.

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Section: Results Of Irritationmentioning

confidence: 99%

The Effect of the Inhalation of Vomitus on the Lungs: Morbid Anatomy

Rannie¹

1963

British Journal of Anaesthesia

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“…Whitwell (1952) in writing of bronchiectasis has shown that even though all communications between a segmental bronchus and the lung may be sealed off, the alveoli remain well aerated-evidently from other bronchi. Other theories of the causation of atelectasis have been put forward, and the suggestion that reflex spasm of the involuntary muscle fibre of the lung is responsible for it has been made by Xalabarder (1949) and Hoffstaedt (1953). They recognize that bronchial obstruction alone is not always responsible for the atelectasis of part of a lung, but suggest that it may be one of the stimuli that result in " reflex atelectasis.…”

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confidence: 99%