An Intermediate Respiratory Care Unit in Every Hospital
Archivos de Bronconeumología
An Intermediate Respiratory Care Unit in Every Hospital
OlgaMediano,ManelLuján,SoniaLópez-Monzoni
The nature of human beings and the societal structure of our lives sometimes offer infectious diseases an opportunity to disseminate beyond our control. This is of particular importance when diseases develop into epidemics or pandemics, and at such times scientific innovations combined with social transformations are often necessary.
In both the poliomyelitis epidemic in the first half of the 20th century and the COVID-19 pandemic, non-invasive respiratory support (NIRS) became the savior of many patients who would otherwise have suffered respiratory failure and eventually death. The iron lung, developed by Drinker-Shaw in 1928, was the first negative-pressure electric ventilator to achieve widespread success in clinical practice.1 The equipment was subsequently enhanced by Emerson, and went on to become the cornerstone of treatment in patients with respiratory paralysis due to polio, until positive pressure ventilation was reintroduced in the 1950s.2 Every polio epidemic generated investment in technology aimed at improving existing ventilators, and thousands of lives were saved around the world. This long history of therapeutic advances has now helped respiratory experts confront one of the most important pandemics of the 21st century.
https://www.sciencedirect.com/science/article/pii/S0300289622005877?dgcid=author
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