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Doctors used a bellows attached to a fumigator or a syringe filled with tobacco smoke to perform these tobacco enemas. During the late 1700s, the Royal Humane Society actually installed resuscitation kits along the River Thames that included bellows specifically for this procedure

It is known that there is heterogeneity in the clinical presentation of asthma and the type and intensity of airway inflammation and remodeling, implying the importance of identifying the phenotype

If you wish to let us know you are not happy to have a supervised trainee perform your procedure please inform us at least one week in advance of the procedure , so we can ensure you are not booked on a training list