Respiratory care : the official journal of the American Association for Respiratory Therapy
154 pages
English

Respiratory care : the official journal of the American Association for Respiratory Therapy

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154 pages
English
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December 1990 Volume 35, Number 12 ISSN00989142-RECACP A MONTHLY SCIENCEJOURNAL 35TH YEAR—ESTABLISHED 1956 Looking Back, Ahead OurLooking Over Shoulder Role ofThe Expanding Carethe Respiratory Practitioner Care DevicesRespiratory Techniques Throughand Yearsthe 1 Thenew 7200"aeventilator.A Unlimited simplified keyboard. Easier-to- use. Easier-to-learn. It's as simple as that. If you'd like to learnSimplicity. more, that's easy too. Call 1-800-255-6773. PURITAIM_1 — IBEIMIMETT® Circle 108on reader service card Thenew7200 ventilator,"ae A Simply powerful new microprocessor for grapfiics, pressure control ventila- tion, and more. As always quick,aUnlimited. easy upgrade away. More options today . . . more tomorrow. Call 1-800-255-6773. It's that simple. _1 _1PURITAN I ~ I^ fBEIMIMETT« Circle 128 on reader service card ofIntelliLink . ..optimizing the management patient care. PPG's IntelliLink''" gives you the most comprehen- record possible.sive and efficient respirator)' Automatically. devices ofInterfaceable with up to 56 peripheral IntelliLink can track all patientvirtually any brand, ventilator, vital signs, pulseinformation including and blood gas data.oximeter, CO2,The for all measuredIt provides graphical trending the cursor, you can easilyvalues, and by moving digital data for any point in time.display user-friendly operations,And with its quick,network to check the status of anyIntelliLink enables you network of up to 254 beds. . .

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December 1990
Volume 35, Number 12
ISSN00989142-RECACP
A MONTHLY SCIENCEJOURNAL
35TH YEAR—ESTABLISHED 1956
Looking Back, Ahead
OurLooking Over
Shoulder
Role ofThe Expanding
Carethe Respiratory
Practitioner
Care DevicesRespiratory
Techniques Throughand
Yearsthe1
Thenew 7200"aeventilator.A
Unlimited
simplified keyboard. Easier-to-
use. Easier-to-learn. It's as simple
as that. If you'd like to learnSimplicity.
more, that's easy too. Call
1-800-255-6773.
PURITAIM_1 —
IBEIMIMETT®
Circle 108on reader service cardThenew7200 ventilator,"ae A
Simply powerful new microprocessor for
grapfiics, pressure control ventila-
tion, and more. As always quick,aUnlimited.
easy upgrade away. More options
today . . . more tomorrow. Call
1-800-255-6773. It's that simple.
_1 _1PURITAN
I ~
I^ fBEIMIMETT«
Circle 128 on reader service cardofIntelliLink . ..optimizing the management
patient care.
PPG's IntelliLink''" gives you the most comprehen-
record possible.sive and efficient respirator)'
Automatically.
devices ofInterfaceable with up to 56 peripheral
IntelliLink can track all patientvirtually any brand,
ventilator, vital signs, pulseinformation including
and blood gas data.oximeter, CO2,The
for all measuredIt provides graphical trending
the cursor, you can easilyvalues, and by moving
digital data for any point in time.display
user-friendly operations,And with its quick,network
to check the status of anyIntelliLink enables you
network of up to 254 beds. . .nopatient in a
matter where you are in the system.
you're interested in past or currentSo whethermaster-
picture fromevents, IntelliLink gives you the big
the network news.
more information on the PPGCall or write us for
IntelliLink, or any of PPG SARA's outstandingmind.
care systems.anesthesia and respiratory
SARAon reader service cardCircle 102 SB
SARA Mfdical Systems
WiJlS 913-894-7500Induslrits, Inc., PO Hox I'i^ss Lencx.1, KSFPCi
Visit AARC Booth 300 in New Orleans 800-321 -.3251)
RE/PIRATORyCME
A Monlhly Slicikc Journal, tstablishi'd 1956. OKicial Journal ot ihc .American Associalion lor Respiratory Care.
EDITORIAL OFFICE
December 1990
Ablos Lane
1 1030.
75229Dallas TX CONTENTS Volume 35, Number 12
(2141243-2272
EDITOR
Pal Brougher RRT
ASSOCIATE EDITOR
RPhT RRTGary Peck SPECIAL ISSUE
ADJl'NCT EDITOR
Kiitrcdpc RRTPhilip 35TH ANNIVERSARY OFTHE
MANAGING EDITOR
Masferrcr RRTRay RespiratoryCareJOURNAL
EDITORIALCOORDINATOR
Donna Stephens
1 185 The Journal's 35th—Looking Back, Looking Ahead BOARD
Robert M Kacinarek PhD RRT. Chairman Robenby MKacmarek—Boston. Massachusetts
Thoma.s A Barnes EdD RRT
Richard Branson RRTD 1186 Looking Over Our Shoulder: This JournaPs First 35 Years
Robert L Chathurn RRT
by Phil Kittredge— River.Little CaliforniaCharles G Durbin JrMD
Dean Hess MEd RRT
1 189 The Expanding Role of the Respiratory Care PractitionerNeil Maclnlyre MD
Da\id Pierson MDJ by JeriE Eiserman— Temecula. California
CONSULTING EDITORS
1 192 TherapistsBiondo BS RRT Must Become More Expert as Use of Respiratory AidsFrank E
Howard J Birenbaum MD Grows (1960)
Philip G Bovsen MD —John G Burford MD by William C Allen Boulder. Colorado
DemcR BS RRTBoh
Elton MD 1 197 ConsiderDonald R Not Only the Therapy, But the Patient as Well! (1961
Robert R Fluck Jr MS RRT —by SisterM Teresa Granite City. IllinoisRonald B George MD
CharlesG Irvin PhD
1200 The Role of Patient Instruction in Improving IPPB Treatments (1969)M HurstMDJames —Jastremski MDMS by Ray Masferrer Dallas. Texas
John Kattwinkel MD
MarkW Mangus CPFT RRT 1203 Home Care for Pulmonary Diseases (1969)
Hugh S Mathewson MD
byM Leone. EL Cassara. and Myron Stein—Providence. Rhode IslandChrtslopher Maxwell RRT
Michael McPeck BS RRT
1206 Training Respiratory Therapists in Emergency EndotrachealThomas A Raffin MD
Richard R Richard BS RRT Intubation (1971)
John Shigeoka MD —by Hewitt J Bryan and RonaldA AndreeBnan Smith MD New York City. New YorkR
Wanger RCPT RRTJack
1208 The Effect of HomeJeffrey J Ward MEd RRT Respiratory Therapy on Hospital Readmission
JOURNAL ASSOCIATES Rates of Patients with Chronic Obstructive Pulmonary Disease (1982)
AyresMDStephen M —Sue Roselle and Frank DAmicoby J Pittsburgh. PennsylvaniaReuben M CherniackMD
Joseph M CivettaMD
1214 Review of a Bronchial Hygiene Evaluation Program (1983)Da\id A Desautels RRT
John B Downs MD —John R Walton, Barryby A Shapiro, and CalvinH Harrison
EganDonald F MD
Chicago. Illinois
Garelh B Gish MS RRT
DennisM Greenbaum MD
1220 A Role for Respiratory Therapists on the Nutritional Team (1983)George Gregory MD
Grenvik MDAke —by Albert Barrocas New Orleans. Louisiana
Frederick Helmholz Jr MDH
John E Hodgkin MD 1223 A Role for the Respiratory Therapist in Flexible Fiberoptic
Marvin Lough RRT
BronchoscopyWilliam F Miller MD (1985)
Elian J Nelson RN RRT
by DominicP Coppolo. L Tarry Brienza. DavidS Pratt, andJohn J
Thomas L Petty MD —Alan K Pierce MD May Cooperstown. New York
Henning Pontoppidan MD
JohnW Se\eringhausMD 1228 Safe and Successful Delivery-Room Intubation and Resuscitation of
Barry .A Shapiro MD
Meconium-Stained Newborns by Respiratory Therapists (1986)
PRODUCTION SUPERVISOR
by Robert Perlson—Medford. OregonDonna Knauf ARTIST 1234 Respiratory Care Devices and Techniques through the Years
Jeannie Marchant —by Dean Hess York, Pennsylvania
PRODUCTION ASSISTANT
Marv Carolvn Dye
Copyright ^ 1990RESPIRATORY CARE (ISSN 00989142) IS a monthly publication of Daedalus Enterpn.ses, Inc. for the American Association for Respiratory Care.
by Daedalus Enterprises Inc. 1 1030 Abies Lane. Dallas TX 75229. All rights reserved. Reproduction in whole or in part without the express, written permission of Daedalus
views of Daedalus Enterprises,Enterpnses. Inc. is prohibited. The opinions expressed in any article or editonal are those of the author and do not necessarily reflect the
American Association forInc. the Editorial Board, or the .American Assoaation for Respiratory Care. Neither can Daedalus Enterprises. Inc. the Editorial Board, or the
Respiratory Care be responsible for the consequences of the clinical applications of any methods or devices described herein.
to Nursing l.lteralure. Care is indexed in Hospilal t-Ueralure Index and in Cumulatm- Index and Allied Health
issues) US, $70 00 in all other countries $84 00 for air mail).Subscription Rates: S5 00 per copy; $50,00 per year (12 in the (add
POSTMASTER: Send address changes to RESPIRATORY CARE. Daedalus Enleiprises. Inc. IIOJO Abies Lane, Dallas TXSecond Class Postage paid at Dallas. TX,
7S229.
'90• DECEMBER Vol 35 No 12RESPIRATORY CARE 1163IHE UUORLDALL OVER
—i .f But wherever they areand hos- ^When clinicians \
., from FARGO to PEKING,administrators the ;pital
CAIRO, BUENOS AIRES,over seek out theworld
' ' AUCKLAND, ABIDJAN ormost current, innovative
—KUALA LAMPUR^;technology for cardiorespi-
MedGraphics users every-ratory diagnostics and
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where breathe easy about ser-monitoring, and demand the
ofvice, and the availability aqualityandhigheststandardsof
'-•
fromcomplete range of suppliesMedGraphics™reliability, only a
^
one dependable source.system will do.
AND IN SPACEsurprising to see state-of-the-artSo it's not
innovation and qualityAnd now, MedGraphicsexercise stress testing systemsMedGraphics
assist the U.S. space program, as NASAwillinTASHKENT and in MOSCOW, testingin use
physicians atJOHNSON SPACE CENTER haveWorldwide, MedGraphics users are continu-factory workers for early signs of heartsteel
selected our systems for important new stud-ally finding new applications for the valuableand lung disease. Or in KENYA, evaluating the
ies ofastronauts on extended duration SPACEphysiological data that can be obtained non-exceptional endurance of high altitude run-
SHUTTLE missions.JAPAN, and invasively bysimply analyzingthe breath,suchners.Orassessinggeneralfitness in
BARCELONA, orresponse in as ventilator management inaiding in the programming of rate
patients in(countries with nutritional assessment of pediatricpacemakers in GERMANY,
MELBOURNEandbumvictimsinCALIFORNIAexcellent technology of their own).
MedGraphics systemswholly-owned subsidiary in All across AMERICA,In fact, with a
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receiving pharmacologicheart failure patie

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