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WILL C. SEALY, M.D.; W. GLENN YOUNG, Jr., M.D.; JOHN B. HICKAM, M.D.

AMA Arch Surg. 1957;75(1):57-60.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Respiratory acidosis developing in emphysematous patients from impaired pulmonary ventilation is well known.^2-4 Patients with normal lungs undergoing surgery have been observed to develop carbon dioxide retention from the failure of the anesthetist to maintain adequate ventilation.^1,6 In the immediate postoperative period, it is not unexpected that instances of serious respiratory acidosis are found. This may be an exacerbation of a chronic acidosis in an emphysematous patient, or it may be acute, from interference with ventilation by events related to the operation. At Duke Hospital two postoperative patients have been studied with the two types of respiratory acidosis. An account of difficulties in recognition and the methods of treatment of this condition is outlined in this report.

Report of Cases

CASE 1.

—A 61-year-old white man, a conservation engineer, was admitted to Duke Hospital on Oct. 6, 1954, complaining of recurrent small hemoptyses, of eight weeks' duration. There . . . [Full Text PDF of this Article]

Author Affiliations
Durham, N. C.

Division of Thoracic Surgery and Department of Medicine, Duke University School of Medicine.

Footnotes
Submitted for publication March 26, 1957.

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