Bilateral diaphragmatic paralysis as a cause of respiratory failure.
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Biomedical subjects
Publications and source records attributed to J S Huseby.
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Application of positive end-expiratory pressure to dogs with noncardiogenic pulmonary edema increased intracranial pressure (measured as cerebrospinal fluid pressure) and decreased cerebral perfusion pressure. The magnitude of these changes depended on the amount of end-expiratory pressure applied and the lung compliance.
Intrapulmonary shunt measured in the sitting position by the oxygen breathing method increased at total lung capacity in 7 of 8 patients with pulmonary arteriovenous fistulas. This may explain the clinically noted increased murmur over a fistula on inspiration. The finding of an increased intrapulmonary shunt at total lung capacity might suggest the diagnosis in equivocal cases and provide a convenient test for follow-up after surgery.
Three patients with miliary tuberculosis developed the adult respiratory distress syndrome. In two patients this complication developed despite treatment with antituberculous drugs. The third patient developed the syndrome, but miliary tuberculosis was not suspected. The presence of disseminated intravascular coagulation in all three cases suggests a possible pathophysiologic relation. Miliary tuberculosis should be considered in patients presenting with adult respiratory distress syndrome of unknown cause.
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