Article1 October 1949PHARMACODYNAMICS OF PULMONARY ABSORPTION IN MAN. I. AEROSOL AND INTRATRACHEAL PENICILLINEDWARD A. GAENSLER, JOHN F. BEAKEY, MAURICE S. SEGAL, F.A.C.P.EDWARD A. GAENSLERSearch for more papers by this author, JOHN F. BEAKEYSearch for more papers by this author, MAURICE S. SEGAL, F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-31-4-582 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptDirect medication of the pulmonary epithelium is not a new development in therapeutics. It is readily understandable why interest in this accessible direct route of therapy should have developed during the early attempts to treat pulmonary disease. With the advent of successful specific oral and parenteral therapy, however, interest in primary medication of the lungs began to lag. The musculotropic and neurotropic action of bronchodilators, the belladonna group of alkaloids, and others, on the musculature and secretory cells of the bronchi was striking. Even more striking, however, was the immediate and prolonged relief afforded the asthmathic by the inhalation of...Bibliography1. GRAESERROWE JBAH: Inhalation of epinephrine for the relief of asthmatic symptoms, Jr. Allergy, 1935, vi, 415-420. CrossrefGoogle Scholar2. BRYSONSANSOMELASKIN VES: Aerosolization of penicillin solutions, Science, 1944, c, 33-35. CrossrefGoogle Scholar3. BARACHSILBERSTEINOPPENHEIMERHUNTERSOROKA ALFHETTM: Inhalation of penicillin aerosol in patients with bronchial asthma, chronic bronchitis, bronchiectasis and lung abscess: preliminary report, Ann. Int. Med., 1945, xxii, 485. Google Scholar4. SEGALRYDER MSCM: Penicillin aerosolization in the treatment of serious respiratory infections. A preliminary report, New England Jr. Med., 1945, ccxxxiii, 747. CrossrefGoogle Scholar5. RICHARDSBARACHCROMWELL DWALHA: Use of vaporized bronchodilator solutions in asthma and emphysema. A continuous inhalation method for severe asthmatic states, Am. Jr. Med. Sci., 1940, cxcix, 225-232. CrossrefGoogle Scholar6. WINTERNITZSMITH MCGH: Preliminary studies in intratracheal therapy, collected studies on the pathology of war gas poisoning, 1920, Yale University Press, New Haven. Google Scholar7. COURTICEPHIPPS FCPJ: The absorption of fluids from the lungs, Jr. Physiol., 1946, cv, 186-190. CrossrefGoogle Scholar8. DRINKERHARDENBERGH CKE: Absorption from the pulmonary alveoli, Jr. Exper. Med., 1947, lxxxvi, 7-18. CrossrefGoogle Scholar9. RAWSON RA: The binding of T-1824 and structurally related diazo dyes by the plasma proteins, Am. Jr. Physiol., 1943, cxxxviii, 708-717. CrossrefGoogle Scholar10. ABRAHAMCHAINFLETCHERGARDNERHEATLYJENNINGSFLOREY EPECMADNGMAHW: Further observations on penicillin, Lancet, 1941, ii, 177-186. CrossrefGoogle Scholar11. RAMMELKAMPKEEFER CHCS: Penicillin: its antibacterial effect on whole blood and serum for hemolytic streptococcus and Staphylococcus aureus , Jr. Clin. Invest., 1943, xxii, 649-657. CrossrefGoogle Scholar12. RAMMELKAMPBRADLEY CHSE: Excretion of penicillin in man, Proc. Soc. Exper. Biol. and Med., 1943, liii, 30-32. CrossrefGoogle Scholar13. FREEPARKERBIRO AHRFBE: Oral penicillin: a comparison of various modes of administration, Science, 1945, cii, 666-668. CrossrefGoogle Scholar14. BAYERPETERSWOODWARDVERWEY KHLRWF: The enhancement of the physiological economy of penicillin in dogs by simultaneous administration of para-aminohippuric acid, Jr. Pharmacol. and Exper. Therap., 1944, lxxxii, 310-323. Google Scholar15. BRONFENBRENNERFAVOUR JCB: Increasing and prolonging blood penicillin concentrations following intramuscular administration, Science, 1945, ci, 673-674. CrossrefGoogle Scholar16. BEYER KH: New concept of competitive inhibition of the renal tubular excretion of penicillin, Science, 1947, cv, 94-95. CrossrefGoogle Scholar17. BEAKEYGAENSLERSEGAL JFEAMS: A comparative study of various apparatus and technique for aerosol administration, Conn. State Med. Jr., 1949, xiii, 855-863. Google Scholar18. DERBESENGELHARDT VJHT: Deaths following the use of local anesthetics in transcricoid therapy: a clinical evaluation, Jr. Lab. and Clin. Med., 1944, xxix, 478-482. Google Scholar19. RAMMELKAMP CH: A method of determining the concentration of penicillin in body fluids and exudates, Proc. Soc. Exper. Biol. and Med., 1942, li, 95. CrossrefGoogle Scholar20. FINLANDMEADSORY MMEM: Oral penicillin, Jr. Am. Med. Assoc., 1945, cxxix, 315-326. CrossrefGoogle Scholar21. BIGGER JN: Inactivation of penicillin by serum, Lancet, 1944, ii, 400. CrossrefGoogle Scholar22. EAGLETUCKER HHA: The effect of serum on the in vitro bioassay of penicillin, 1948, in preparation. Quoted by EAGLE, H.: Speculations as to the therapeutic significance of the penicillin blood level, Ann. Int. Med., 1948, xxviii, 260-278. Google Scholar23. LITTLELUMB CJG: Penicillin by mouth, Lancet, 1945, ccxlviii, 203. CrossrefGoogle Scholar24. HARVEY BC: Simple lessons in anatomy, Am. Med. Assoc., 1932. Quoted by PRIGAL, S. G.: Studies with medicated aerosols, 1948, xxviii, 814-828. Google Scholar25. BEAKEYGAENSLERSEGAL JFEAMS: Pharmacodynamics of pulmonary absorption in man. II. The influence of various diluents on aerosol and intratracheal penicillin. To appear in November 1949 issue, Ann. Int. Med. Google Scholar26. INGRAHAMGAENSLER FDEA: Unpublished data, 1944. Google Scholar27. KAYMEADE EBRH: Penicillin in the treatment of chronic infections of the lungs and bronchi; analysis of 93 cases, Jr. Am. Med. Assoc., 1945, cxxix, 200-204. CrossrefGoogle Scholar28. MOORETHOMPSON FHJW: Intrabronchial instillation of penicillin or sulfonamide solution, with bronchial lavage, in the treatment of severe bronchiectasis, Naval Med. Bull., 1945, xlv, 1097-1103. Google Scholar29. BOBROWITZEDLINBASSINWOOLEY IDJSSJS: Penicillin in the treatment of bronchiectasis, New England Jr. Med., 1946, ccxxxiv, 141-147. CrossrefGoogle Scholar30. ROMANSKYDUGANRITTMAN MJDJGE: Penicillin in iodized oil for instillation into the lungs, Science, 1945, cii, 255-256. CrossrefGoogle Scholar31. GAENSLERBEAKEYSEGAL EAJFMS: The relative effectiveness of parenteral, intratracheal and aerosol penicillin in chronic suppurative disease of the lung, Jr. Thorac. Surg., 1949, xviii, 546-560. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Boston, Massachusetts*Received for publication September 11, 1948.From the Department of Inhalational Therapy, Boston City Hospital, and the Department of Medicine, Tufts College Medical School. This study was aided by a grant from the Commercial Solvents Corporation. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAlternative Methods of Drug AdministrationPostoperative Pain Treatment by Means of a Morphine Aerosol: A Multicenter StudyEfficacy of absorption of sublingual and intravenous cardio-greenEndotracheal drug therapyA simple method for administering endotracheal medicationBlood levels of diazepam after endotracheal administration in dogsAuthor's replyLOCALIZED PULMONARY DISEASESBibliographyBronchiectasisAsthma bronchialeXIX Studies with Steam Generated Aerosols 1 October 1949Volume 31, Issue 4Page: 582-594KeywordsBronchiBronchodilatorsCellsEpitheliumHospital medicineInhalationLungsPenicillinPharmacodynamicsPulmonary diseases ePublished: 1 December 2008 Issue Published: 1 October 1949 PDF downloadLoading ...
No takes yet. Share an insight, caveat, or question.
Gaensler et al. (1949) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: