Anesthesiology 2015; 122:631-46 646 Güldner et al. Spontaneous Breathing and Ultraprotective Ventilation ventilation and is further improved by random variation of pressure support. Crit Care Med 2011; 39:746–55 32. Saddy F, Oliveira GP, Garcia CS, Nardelli LM, Rzezinski AF, Ornellas DS, Morales MM, Capelozzi VL, Pelosi P, Rocco PR: Assisted ventilation modes reduce the expression of lung inﬂammatory and ﬁbrogenic mediators in a model of mild acute lung injury. Intensive Care Med 2010; 36:1417–26 33. yoshida T, Torsani V, Gomes S, De Santis RR, Beraldo MA, Costa EL, Tucci MR, Zin WA, Kavanagh BP, Amato MB: Spontaneous effort causes occult pendelluft during mechanical ventilation. Am J Respir Crit Care Med 2013; 188:1420–7 34. Mauri T, Bellani G, Grasselli G, Confalonieri A, Rona R, Patroniti N, Pesenti A: Patient-ventilator interaction in ARDS patients with extremely low compliance undergoing ECMO: A novel approach based on diaphragm electrical activity. Intensive Care Med 2013; 39:282–91 35. Nosotti M, Rosso L, Tosi D, Palleschi A, Mendogni P, Nataloni IF, Crotti S, Tarsia P: Extracorporeal membrane oxygenation with spontaneous breathing as a bridge to lung transplanta- tion. Interact Cardiovasc Thorac Surg 2013; 16:55–9 ANESTHESIOLOGY REFLECTIONS FROM THE WOOD LIBRARY-MUSEUM McGill’s Gaseous Ambiguity? “Certainly Not!” Mailed in 1920, this postcard featured the humorous artistry of British cartoonist Donald McGill (1875–1962). Perhaps aptly named “Mr. Wrench,” McGill’s slim dentist (left) in this pictorial enquires whether his portly patient wants [laughing] gas. The latter indignantly countered (right) with “Gas? Certainly not! I can afford electric light!” As he often did, McGill fully exploited the ambiguity of the word “gas” for both illuminating (“natural gas”) and anesthetic (“laughing gas”) purposes. This postcard is part of the Wood Library-Museum’s Ben Z. Swanson Collection. (Copyright © the American Society of Anesthesiologists, Inc.) George S. Bause, M.D., M.P.H., Honorary Curator, ASA’s Wood Library-Museum of Anesthesiology, Schaumburg, Illinois, and Clinical Associate Professor, Case Western Reserve University, Cleveland, Ohio. [email protected]. Downloaded From: http://anesthesiology.pubs.asahq.org/pdfaccess.ashx?url=/data/Journals/JASA/932777/ by Samir Sharsharr on 02/25/2015

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Anesthesiology 2015; 122:631-46 646 Güldner et al.

Spontaneous Breathing and Ultraprotective Ventilation

ventilation and is further improved by random variation of pressure support. Crit Care Med 2011; 39:746–55

32. Saddy F, Oliveira GP, Garcia CS, Nardelli LM, Rzezinski AF, Ornellas DS, Morales MM, Capelozzi VL, Pelosi P, Rocco PR: Assisted ventilation modes reduce the expression of lung inflammatory and fibrogenic mediators in a model of mild acute lung injury. Intensive Care Med 2010; 36:1417–26

33. yoshida T, Torsani V, Gomes S, De Santis RR, Beraldo MA, Costa EL, Tucci MR, Zin WA, Kavanagh BP, Amato MB: Spontaneous effort causes occult pendelluft during

mechanical ventilation. Am J Respir Crit Care Med 2013; 188:1420–7

34. Mauri T, Bellani G, Grasselli G, Confalonieri A, Rona R, Patroniti N, Pesenti A: Patient-ventilator interaction in ARDS patients with extremely low compliance undergoing ECMO: A novel approach based on diaphragm electrical activity. Intensive Care Med 2013; 39:282–91

35. Nosotti M, Rosso L, Tosi D, Palleschi A, Mendogni P, Nataloni IF, Crotti S, Tarsia P: Extracorporeal membrane oxygenation with spontaneous breathing as a bridge to lung transplanta-tion. Interact Cardiovasc Thorac Surg 2013; 16:55–9

ANESTHESIOLOGY REFLECTIONS FROM THE WOOD LIBRARY-MUSEUM

McGill’s Gaseous Ambiguity? “Certainly Not!”

Mailed in 1920, this postcard featured the humorous artistry of British cartoonist Donald McGill (1875–1962). Perhaps aptly named “Mr. Wrench,” McGill’s slim dentist (left) in this pictorial enquires whether his portly patient wants [laughing] gas. The latter indignantly countered (right) with “Gas? Certainly not! I can afford electric light!” As he often did, McGill fully exploited the ambiguity of the word “gas” for both illuminating (“natural gas”) and anesthetic (“laughing gas”) purposes. This postcard is part of the Wood Library-Museum’s Ben Z. Swanson Collection. (Copyright © the American Society of Anesthesiologists, Inc.)

George S. Bause, M.D., M.P.H., Honorary Curator, ASA’s Wood Library-Museum of Anesthesiology, Schaumburg, Illinois, and Clinical Associate Professor, Case Western Reserve University, Cleveland, Ohio. [email protected].

Downloaded From: http://anesthesiology.pubs.asahq.org/pdfaccess.ashx?url=/data/Journals/JASA/932777/ by Samir Sharsharr on 02/25/2015

mailto:[email protected]