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Pulmonary Emphysema.

George N. Bedell, M.D.
AMA Arch Intern Med. 1957;100(2):334-335. doi:10.1001/archinte.1957.00260080160033.
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This book is divided into two parts. The first part, a series of chapters written by Barach, Bickerman, and Beck, is a detailed account of therapeutic measures used by the New York Presbyterian Hospital group. They give many helpful hints on how to deal with the patient who has chronic lung disease. The second half of the book is a series of monographs on different phases of the emphysema problem. Dayman has written an excellent chapter on the mechanics of breathing, in which he points out that loss of elasticity and of integrity of the supporting tissues of the airways is a very important element in producing obstruction to expiratory flow of air. Fowler, Miller, and Helmholz, candidly discuss the administration of bronchodilator aerosols and the use of intermittent positive-pressure breathing in patients with pulmonary emphysema and conclude that aerosols do benefit the emphysema patient, whereas intermittent positive-pressure breathing is


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