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Correspondence
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Volume 331:549-550 August 25, 1994 Number 8
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Mechanical Ventilation

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 by Tobin, M. J.
To the Editor: In his review of mechanical ventilation (April 14 issue),1 Tobin examines the new alternative methods of ventilation, including noninvasive ventilatory techniques. But he fails to mention a noninvasive method of ventilation that is based on the intermittent delivery of a negative pressure -- the iron lung.

In recent studies,2,3,4,5 the iron lung has been proposed as an alternative noninvasive method for the treatment of acute respiratory failure in patients with chronic obstructive pulmonary disease. Although these data are derived from uncontrolled clinical studies, the rates of long-term survival among the patients who, at the time of each . . . [Full Text of this Article]

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