Abstract
Similar clinical pulmonary characteristics may develop after severe body stress and can be placed into one category for purposes of definition and treatment. Seventeen patients satisfying the criteria of so-called white lung syndrome were treated in private hospitals in metropolitan Atlanta during a three-year period. The emphasis in treatment was placed on continuous positive-pressure breathing (CPPB). The pathology, bacteriology, etiology, and management of white lung syndrome are discussed. The use of CPPB increased the survival rate and diminished both mechanical ventilation time and hospital stay dramatically. The average hospital stay of survivors who did not receive CPPB was 65 days, as compared with 37 days when CPPB was used, and the total ventilation time was decreased from 27 days to 12 days by the use of CPPB. In all patients, CPPB resulted in an elevation of PaO 2 and improved the chances of survival if nonrespiratory problems could be corrected.
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