0
Editorials |

Noninvasive Mechanical Ventilation at Home : Building Upon the Tradition

Allen I. Goldberg, MD, FCCP
Author and Funding Information

Affiliations: Chicago, IL 
 ,  Dr. Goldberg is Professor of Pediatrics, Loyola University, Chicago.

Correspondence to: Allen I. Goldberg, MD, FCCP, 1018 W. Diversey Parkway #2, Chicago, IL 60614; e-mail: agoldberg1988@kellogg.nwu.edu



Chest. 2002;121(2):321-324. doi:10.1378/chest.121.2.321
Text Size: A A A
Published online

Extract

The modern era of mechanical ventilation began during the poliomyelitis epidemics of the mid-20th century. According to personal accounts from the late historian Gini Laurie and innovative engineer Jack Emerson, deaths from bulbar poliomyelitis inspired a dramatic global response similar to an allied army fighting a war against a merciless enemy.12 Noninvasive negative-pressure ventilation by the iron lung and other means had been the only weapons available.3 Mounting deaths from bulbar poliomyelitis demanded another maneuver: the modern positive-pressure ventilator (Engström4) and the use of positive-pressure ventilation by tracheostomy.5 These advances led to a reduction in mortality from bulbar polio from 90 to 20%, and the era of long-term invasive positive pressure ventilation was begun.5 Victory came because of the dedication of voluntary organizations and public awareness and support.1 In the United States, the work of the National Foundation-March of Dimes and the public made possible what would never have occurred otherwise.1,6 The definitive defeat of polio came from teamwork: the public responding to a crisis, clinicians and engineers developing innovative technologies, and interdisciplinary clinical teams—including patients—applying new techniques in dedicated respiratory-care centers building upon a foundation of combined extensive experience.12

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
Home ventilation. Eur Respir J Suppl 2003;47():38s-46s.
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543