History of respiratory caresummary of Egans

History of respiratory care CHAPTER 1 The history of science and medicine is a fascinating topic, which begins in ancient times and progresses to the twenty-first century. Although respiratory care is a newer discipline, its roots go back the dawn of civilization. The progression of science and medicine continued through the centuries, and development of modern disciplines of anesthesiology, pulmonary medicine , and respiratory care during the twentieth century was dependent on the work physicians. This chapter describes the history and development of the field of respiratory care and possible future directions for the profession. Definitions : Respiratory care, also known as respiratory therapy, defined as the health care discipline that specializes in the promotion of optimal cardiopulmonary function and health. Respiratory therapists(RTs) a scientific principles to prevent, identify, and treat acute or chronic dysfunction of the cardiopulmonary system. Respiratory care is increasingly involved in the prevention of respiratory disease, the management of patients with chronic respiratory disease, and promotion of 5 health and wellness .Respiratory therapists, also known as respiratory care practitioners, are healthcare professionals who are educated and trained to provide respiratory care to patient. Development of the respiratory care profession : Clinical advanced in respiratory care : the development sophisticated mechanical ventilators naturally led to a further expansion in the role of respiratory therapists, who soon also found themselves responsible for arterial blood gas and pulmonary function laboratories , the designation" respiratory therapist" became standard, and the respiratory therapist became the allied health professional primarily concerned with the assessment, diagnostic testing, treatment, education, and patients with deficiencies and abnormalities pulmonary system. the historical development of several clinical areas of respiratory care is described next , followed by an overview of the establishment of the major professional organizations in the field . The evolution of respiratory care education is also described. RULE OF THUMB When looking for information about the respiratory care profession, the best place to look is the AARC (see www.AARC.org). Oxygen therapy : Although the therapeutic administration of oxygen first occurred , and Bert showed that lack of oxygen caused hyperventilation , the physiologic basis and indications for oxygen therapy were not well understood until the twentieth century. Large-scale production of oxygen was developed by von .The use of nasal catheter for oxygen administration was introduced Lane in the same year Oxygen tents were in use and an oxygen mask was used to treat combat gas induced pulmonary. The 2000s saw further advances in home oxygen therapy equipment with the introduction of oxygen concentrators used in conjunction with a pressure booster to allow for the trans filling of small, portable oxygen cylinders in the home. Smaller, lightweight portable oxygen concentrators were also introduced. Both of these advances have greatly enhanced the ability of patients receiving longterm oxygen therapy to ambulate beyond the confines of their home. 6 Aerosol medication : Aerosol therapy is defined as the administration of liquid powdered aerosol particles via inhalation to achieve a desired therapeutic effect. Bland aerosols(sterile water, saline solutions) or solutions containing pharmacologyactive drugs may be administered. in the past use of inhaled Dutra leaf fumes, which contain atropine, asthma was described. was Early use of aerosol medications , when the first use of aerosolized epinephrine reported. Later, other short-acting bronchodilators such as isoproterenol, isoetharine , meta Droterenol , albuterol sulfate, and emergency were introduced, primarily for the treatment of acute asthma attacks. Oral and injectable steroids were first used in the treatment of asthma the , and the use of aerosolized steroids for the maintenance of patients with moderate to severe asthma .Since that time, numerous medications have been designed for aerosol administration. Along with newer respiratory drugs, newer delivery devices such as dry powder inhalers and innovative designs for small volume nebulizers have been introduced. Mechanical ventilation : Mechanical ventilation refers to the use of a mechanical device to provide ventilatory support for patients. Fothergill advocated mouth-to-mouth resuscitation for drowning victims. During the mid there a great deal of int