From continuous positive-pressure breathing to ventilator-induced lung injury.

Continuous positive-pressure ventilation in acute respiratory failure. By Kumar A, Falke KJ, Geffin B, Aldredge CF, Laver MB, Lowentein E, Pontoppidan H. N Engl J Med 1970; 283:1430-6.

Direct dye binding--a quantitative assay for solid-phase immobilized protein.

A direct dye-binding procedure was established for the quantification of protein after its immobilization on a solid phase, using IgG and BSA as model proteins. The assay, which in the range 0-5 mg protein/ml gel correlates well with indirect protein determination by A280 as well as determination of protein hydrolyzed from the gel, is based on a modified Bradford dye-binding assay. As the protein coupled to the gel binds the dye, a decrease in A465 of the supernatant is measured.

A prospective study of acute hypoxic respiratory failure.

A prospective study of acute hypoxic respiratory failure was carried out by nine centers in a collaborative NIH study from 1 September 1975 to 1 March 1977. Serious hypoxic respiratory failure was defined in 713 patients by the presence of (1) endotracheal intubation and positive airway pressure for at least 24 hours, and (2) the administration of at least 50 percent oxygen. The 490 patients between 12 to 65 years of age had a mortality of 61 percent.

Effect of prethymectomy plasma exchange on postoperative respiratory function in myasthenia gravis.

The effect of prethymectomy plasma exchange on postoperative mechanical ventilation requirement and length of stay in the intensive care unit were studied retrospectively in 37 patients with myasthenia gravis. We found a significantly decreased time on mechanical ventilation (mean 1.02 +/- 0.

Comparison of work of breathing on high gas flow and demand valve continuous positive airway pressure systems.

Using on-line computer analysis, the work of breathing (WOB) was measured in ten normal subjects breathing through four continuous positive airway pressure (CPAP) circuits. Two systems (Emerson ventilator) and MGH elastic loaded reservoir bag (ELRB) were high continuous flow systems and two (Puritan-Bennett MA-2 and Bourns Bear Ventilators) were demand valve circuits. Mean values for the WOB were similar with either of the two continuous high flow systems (Emerson 0.