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

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

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142 pages
English
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December 1993 Volume Number38, 12 RE/PIRATORy A MONTHLY SCIENCE JOURNAL 38TH YEAR—ESTABLISHED 1956 Editorials Call for Combined Drug Therapy in Asthma 1994 Open Forum Abstracts A Question of Ethics: Funding of Continuing Education Effects of PEEP on Oxygenation and Lung Water afterWood Smoke Inhalation Microbial Colonization of the Trachea and Septicemia in Mechanically Ventilated Neonates Antimuscarinic -Adrenoceptorand B2 Bronchodilators in Obstructive Airways Disease: A Review ACCP Consensus Statement on Mechanical Ventilation RETROSPECTROSCOPE REDUX: Inflation—1904 Model - SIEMENS ClinicallySpeaking 66 In Pressure The flexibility of the In volume66 66 Regulated Volume Servo 300 is superior. support, the Servo Control, as the With a simple turn of a 300 automatically patient's compliance dial, you can make fine-tunes the pressure changes, the Servo ventilatory adjustments support level breath- Ventilator300 with its and move between by-breath, and frees real-time control, adjusts different modes. the therapist for99 to find the lowest other duties. It's possible pressure to much more deliver the guaranteed efficient. 99 volume.99 Recently, a patient66 Patients feel66 who hadARDS was more comfortable on placed on the ventilator the Servo Ventilator in the PRVC mode. 300.

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December 1993
Volume Number38, 12
RE/PIRATORy
A MONTHLY SCIENCE JOURNAL
38TH YEAR—ESTABLISHED 1956
Editorials
Call for Combined Drug Therapy in Asthma
1994 Open Forum Abstracts A Question of Ethics: Funding of Continuing
Education
Effects of PEEP on Oxygenation and
Lung Water afterWood Smoke
Inhalation
Microbial Colonization of the Trachea
and Septicemia in Mechanically
Ventilated Neonates
Antimuscarinic -Adrenoceptorand B2
Bronchodilators in Obstructive Airways
Disease: A Review
ACCP Consensus Statement on
Mechanical Ventilation
RETROSPECTROSCOPE REDUX:
Inflation—1904 Model-
SIEMENS
ClinicallySpeaking
66 In Pressure The flexibility of the In volume66 66
Regulated Volume Servo 300 is superior. support, the Servo
Control, as the With a simple turn of a 300 automatically
patient's compliance dial, you can make fine-tunes the pressure
changes, the Servo ventilatory adjustments support level breath-
Ventilator300 with its and move between by-breath, and frees
real-time control, adjusts different modes. the therapist for99
to find the lowest other duties. It's
possible pressure to much more
deliver the guaranteed efficient. 99
volume.99
Recently, a patient66 Patients feel66
who hadARDS was more comfortable on
placed on the ventilator the Servo Ventilator
in the PRVC mode. 300. And it can be
We were able to used with neonates,
ventilate her with pediatrics, and adults66 Just as the
consistently low peak one ventilator,Servo 900C did when
airway pressures, versus many
it was introduced, the
and she improved at ventilators.gas delivery system of 99
a more rapid pace than the Servo 300 has set
we anticipated. 99 a new standard. 99
Siemens can also bring you Siemens Medical Systems, Inc.
the very best in ventilator care. Patient Care Systems Division
For more information on 16 Electronics Avenue
the Servo Ventilator 300® Danvers, MA 01923
or to arrange a personal 1-800-333-8646Toll-Free
demonstration, contact your
local Siemens representative.
Or call toll-free.
Siemens...
technology in caring hands.
Circle 104 on reader service cardPut
Human
Resources 3
American
AssociationtoWork \ tor
\
\
'\ p\ratorv
Res
.1
Care
\
YouFor
The AARC Human Resources Survey:
A Study of Respiratory Care
Human Resources in Hospitals
of full-time equivalents,Covers a wide range of human resource issues, including compensation, numbers
information on age, sex, andjob vacancy rates, education, credentialing, and licensure. Even includes
years of experience.
• • • Salaries • VacanciesComprehensive Summary Position Profiles
• • Regional DemographicsEducation, Experience, and Credentials
Fall 1992, 68 pages, 66 tables
Item BK12 $50 Ea (AARC Member $35)
Please send me the following:
Human Resources Survey, Item BK12 $50 (Member $35)
(MemberChronic Ventilator Patient Survey, Item BK20 $50 $25)A Study of Chronic
Ventilator-Dependent Patients
D Charge to my Q Visa MasterCard
Chronic ventilator-dependent patients are costing Card #
American hospitals more than $9 million per day Signature
according to this Gallup study conducted for the
Payment enclosed %
_
AARC. This important study provides information
Order ttQ Charge to Purchase
on patients who depend on life-support systems,
Add $3 for Shipping and Handlingwhy, how, and where they are being treated, and
the cost of treatment.
AARC Member No.
47 pages, 9 tables, 12 figures
Name/Institution
MemberItem BK20 $50 Ea (AARC $25)
To order with credit card or purchase order,
Association for Respiratory CareAmerican
Abies Lane Dallas, TX 75229-4593call (214) 243-2272 or Fax to (214) 484-2720 1 1030Wejustmadeadvancedcapnography
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Circle 114 on reader service cardCARERE/PIRATORy
Monthly Science Journal. Established 1956. Official Journal of the American Association tor Respiratory Care.A
EDITORIAL OFFICE December 1993
11030 Abies Lane CONTENTS Volume 38, Number 12
Dallas TX 75229
(2141243-2272
EDITOR EDITORIALS
Pat Brougher BA RRT
in Asthma1340 Combined Drug Therapy
ASSOCIATE EDITOR —Mathewson Kansas City, Kansasby Hugh S
Kaye Weber MS RRT
1341 A Question of Ethics: Funding of Continuing Education
ASSISTANT EDITOR —bx Robert Czachowski Dallas, TexasStephens BBADonna
EDITORIALBOARD
ORIGINAL STUDIES
Dean Hess MEd" RRT. Chairman
Thomas A Barnes EdD RRT
1346 Acute Pathophysiology afterWood Smoke Inhalation in a Dog Model:
Richard D Branson RRT
Robert L Chatburn RRT
Effects ofPEEP on Oxygenation and Lung Water
MDCharles G Durbin Jr —
Thomas D East PhD by William R Clark, Gary F Nieman, and Tawfic S Hakim Syracuse,
RobertM Kacmarek PhD RRT
New YorkNeil R MaclntyreMD
David J Pierson MD
James K StollerMD 1355 Factors Affecting Microbial Colonization of the Trachea and Septicemia
CONSULTING EDITORS in Mechanically Ventilated Neonates
Frank E Biondo BS RRT by Leandro Cordero, Kim Davis, Scott Morehead, and Leona W
Howard J Birenbaum MD —John G Burford MD Avers Columbus, Ohio
Bob Demers BS RRT
Donald R EltonMD
Robert R Fluck JrMS RRT REVIEWS,OVERVIEWS,& UPDATES
Ronald B GeorgeMD
JamesM Hurst MD -Antimuscarinic and Adrenoceptor Bronchodilators in Obstructive1364 fi2
Charles G Irvin PhD
MS JastremskiMD DiseaseAirways
Hugh S MathewsonMD —Cynthia L Howder Seattle, WashingtonMichael McPeck BS RRT by
Richard R Richard BS RRT
John Shigeoka MD
R Brian SmithMD GUIDELINES & STATEMENTS
Jack WangerMBA RPFT RRT
Ward MEd RRTJeffrey J Ventilation
1389 ACCP Consensus Statement on Mechanical
JOURNAL ASSOCIATES published concurrently in Chest (1993;104:1833-1859)
StephenM AyresMD
Reuben M Cherniack MD
JosephM CivettaMD TESTYOUR RADIOLOGIC SKILL
John DownsMDB
1423 Radiographic Findings in a Blunt Trauma PatientDonald F Egan MD
Gareth B Gish MS RRT —by Grace Nadell and FrederickW Clevenger Albuquerque, New
George Gregory MD
Ake GrenvikMD Mexico
JrMDH Frederick Helmholz
John E Hodgkin MD
William F MillerMD
CLASSIC REPRINTS
Elian J Nelson RN RRT
Thomas L Petty MD
1418 RETROSPECTROSCOPE REDUX: Inflation—1904 Model
Alan K Pierce MD
Henning PontoppidanMD JuliusH Comroe Jr (reprinted, with permission,from the Americanby
JohnW SeveringhausMD
Barry A ShapiroMD Review Respiratory Disease 1975;112:713-716)of
PRODUCTION STAFF
Barcus LETTERSLinda
Steve Bowden
"Picky'—Analysis of Pilbeam Book ReviewBill Cryer 1428 Eagle Eye but
Donna Knauf —William B Hunt Jr New Bern, North Carolina; with response bybyJeannic Marchant
—Fran Piedalue Denver, Colorado
°publication of Daedalus Enterprises Inc for the American Association for Respiratory Care. Copyright 1993 by Daedalus En-Respiratory Care (ISSN 00989142) is a monthly
isterprises Inc. 1 1030 Abies Lane, DallasTX 75229. All rights reserved. Reproduction in whole or in part without the express, written permission of Daedalus Enterprises Inc.
Enterprises Inc. the Editorial Board, orprohibited. The opinions expressed in any article or editorial are those of the author and do not necessarily reflect the views of Daedalus
Daedalus Enterprises Editorial Board, or the Amercian Association for Respiratory Care be responsible forthe American Association for Respiratory Care. Neither can Inc, the
the consequences of the clinical applications of any methods or devices described herein. Printed in USA.
Respiratory Care is indexed in Hospital Literature Index and in Cumulative lmte.x to Nursing and Allied Health Literature.
issues) in $70.00 in all other countries (add $84.00 for airmail).Subscription Rates: $5.00 per copy; $50.00 per year (12 the US;
75229.paid at Dallas, TX. POSTMASTER: Send address changes to Respiratory Care. Daedalus Enterprises, Inc., 11030 Ahles Lane. DallasTXSecond Class Postage
1327
"93RESPIRATORY CARE • DECEMBER Vol 38 No 12Make work of breathing light as a feather!
Drager is the first to otter you Minimum Pressure Ventilation, a feather light synchronizing
ventilation philosophy that lets you deliver volume constant pressure control.
Up until now, you've been left literally in the dark when it comes to knowing

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