id author title date pages extension mime words sentences flesch summary cache txt cord-253891-d1ei287l Geddes, Duncan The history of respiratory disease management 2016-04-23 .txt text/plain 2191 128 61 Advances in treatment have been dramatic, the most important being drugs (antibiotics, cortisone, β(2)-adrenoreceptor agonists), ventilatory support (from iron lung to nasal positive-pressure ventilation), inhaled therapy (metered dose inhalers, nebulizers) and lung surgery (resections, video-assisted thoracoscopic surgery, transplantation). Over the past 150 years: C Infections have declined but returned while asthma, chronic obstructive pulmonary disease and lung cancer have surged C Scientific advances, especially in imaging and microbiology, have improved diagnosis C New targeted treatments with antibiotics, corticosteroids, ventilatory support and lung surgery have revolutionized management C Delivery of care has shifted from inefficient remedies for the rich to specialized treatment for all Duncan Geddes MD FRCP CBE is an Honorary Consultant at the Royal Brompton Hospital, London and Professor of Respiratory Medicine at Imperial College, London, UK. Delivery of care Lung medicine was a major part of the general doctor's workload in the 19th century until the 1850s sanatorium movement e well The Rack e and this specialization led on to chest clinics. ./cache/cord-253891-d1ei287l.txt ./txt/cord-253891-d1ei287l.txt