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Ann Thorac Surg 1990;50:490-493
© 1990 The Society of Thoracic Surgeons

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Articles

A Practical mechanical respirator, 1929: The "iron lung"

Department of Surgery, State University of New York Health Science Center, Syracuse, New York, USA

^_* Address reprint requests to Dr Meyer, 759 E Adams St, Syracuse, NY 13210.

No satisfactory mechanical respirator existed before 1929, when Philip Drinker and Louis Shaw described an apparatus of their own design. This machine was in the form of a cylindrical tank enclosing the patient's body and chest, leaving the head outside the chamber under atmospheric pressure. Air pumps, later a bellows, raised and lowered pressure within the tank to assume the entire work of breathing. Popularly named the iron lung, the Drinker respirator supported thousands of patients afflicted with respiratory paralysis during the polio era. It was being superseded by positive-pressure airway ventilators just as the polio era came to a close. Today the Drinker respirator has disappeared virtually without a trace. Although its disadvantage was its cumbersome size, we must concede that it supported patients over the long term with fewer complications than do the respirators of today.

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