CASE REPORT: PDF OnlyAdult respiratory distress syndrome Successful support with continuous negative extrathoracic pressureMORRIS, ALAN H. MD; ELLIOTT, C. GREGORY MDAuthor Information From the Intermounlain Respiratory Intensive Care Unit. Pulmonary Division, LDS Hospital, and Division of Respiratory. Critical Care, and Occupational (Pulmonary) Medicine. Department of Medicine. University of Utah. Salt Lake City, UT. Critical Care Medicine: November 1985 - Volume 13 - Issue 11 - p 989-990 Buy Abstract We describe the use of continuous negative extra-thoracic pressure to treat successfully the adult respiratory distress syndrome in a 19-yr-old woman who resisted the application of positive airway pressure. Arterial hypoxemia was reversed with −26 cm H2O of extrathoracic pressure, produced by a modified Emerson iron lung. Cerebral and renal functions were maintained, and barotrauma did not occur. The patient required aontinuous negative extrathoracic pressure for 9 days; 12 days after admission, she was discharged. This case indicates that negative extrathoracic pressure therapy can be an effective and safe alternative to positive airway pressure for the management of selected patients with adult respiratory distress syndrome., © Williams & Wilkins 1985. All Rights Reserved.