Purpose: An RCT at the Univ. of Vienna, reported mean 3.5 day reductions in time to extubation and discharge from an ICU in a group treated with homeopathically potentized potassium dichromate (Kali bichromicum 30C, KB). Subjects were mostly men in their late 60s with a >10-yr smoking history on mechanical ventilation (MV) due to exacerbations of their Chronic Obstructive Pulmonary Disease. Exclusion criteria included lung disease in addition to COPD; positive blood culture; airway obstruction; heart disease; and need for catecholamines. (Frass, Dielacher et al. 2005) Subsequently, KB was approved for use at two rural community hospital affiliates of a major U.S. medical center. A review of the cases treated was undertaken to gain a better understanding of the use of KB in the community hospital setting.