historyWellcome Collection

A brief history of ventilation

the gist

Mechanical breathing began with a surprisingly crude idea: in 1543 Andreas Vesalius blew air into a dog's lungs through a reed tube inserted into its windpipe. Early resuscitation was shaped by bizarre tactics, such as 18th-century London societies that used tobacco smoke bellows to revive drowning victims. Negative-pressure devices like John Dalziel's 1832 tank respirator paved the way for the iron lung. Philip Drinker's iron lung, first used at Boston Children's Hospital in 1928, kept polio patients breathing until vaccines reduced the need for it.

so what

Modern ventilators descend from these experiments, and the iron lung shows how engineering and medicine converged during the polio epidemics. It is a reminder that life-support technology developed through trial, error and sheer necessity.

fun fact

In 1732 a Scottish doctor revived a miner, James Blair, after a colliery fire, by mouth-to-mouth resuscitation.

more on this

background

An iron lung is negative pressure ventilator and mechanical respirator which encloses most of the patient's body. The air pressure inside the enclosed space stimulates breathing. The device is used to assist breathing when muscle control is lost. This treatment was historically helpful for polio and botulism, and for counteracting the effects of barbiturates and tubocurarine.

The iron lung has become largely obsolete in modern medicine, replaced by more advanced breathing therapies. Polio eradication in most of the world also reduced the need for the iron lung. In 2020, during the COVID-19 pandemic, interest in these devices was revived as a cheap, readily-producible substitute for positive-pressure ventilators which were in short supply.

From Wikipedia: Iron lung (CC BY-SA 4.0) ↗

Wellcome Collection · CC BY 4.0

Illustrative photo · Photo Credit: Content Providers(s): CDC/GHO/Mary Hilpertsha…, Public domain, via Wikimedia Commons