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Medical ArticlesEsophageal Foreign Body Symptoms
1. There are no absolutely diagnostic symptoms. 2. Dysph...
For healing wounds, burns, ulcers, irritation of mucous membr...
The Anti-gastric Method
consisting in the free use of emetics or purgatives, has been...
Often, in the young, the bones are so soft that they bend more...
How To Sleep Restfully
IT would seem that at least one might be perfectly fr...
Inducing A Child To Open Its Mouth (author's Method)
The wounding of the child's mouth, gums, and lips, in the of...
The Poor Start
For this reason it makes sense to take vitamins and food sup...
This trouble is often only aggravated and made chronic by the ...
Action Of The Pack And Bath Rationale
The action of the wet-sheet pack is thus easily accounted for...
See Baths for Head. ...
Cases Beyond The Remedy Of Fasting
Occasionally, very ill people have a liver that has become so...
The lunar caustic is very useful in the treatment of this pai...
The Woman At The Next Desk
IT may be the woman sewing in the next chair; it may ...
Is applicable to inflamed eyes, in the early stage, where the...
The Heart In Pneumonia
As pneumonia heads the list of the causes of death in this co...
Delirium In Fever
The best way of treating this truly distressing symptom is by ...
Bile On The Stomach
Take half a teacupful of hot water every ten minutes for ten h...
This disease generally comes on at night, in hot weather, and...
Drugs In Hypertension
The drugs that are mostly used to lower blood pressure are ni...
Symptoms Of Tracheal And Bronchial Foreign Body
1. Tracheal foreign bodies are usually movable and their mo...
Anesthesia In Heart Disease
Source: Disturbances Of The Heart
While no physician likes to give an anesthetic to a patient who has
valvular disease of the heart, and no surgeon cares to operate on
such a patient unless operation is absolutely necessary, still in
valvular disease with good compensation the prognosis of either
ether or chloroform narcosis is good.
When there are evidences of chronic myocarditis or a history of
broken compensation and the borderline of compensation and
dilatation is very narrow, or when there is arteriosclerosis, the
danger from an anesthetic and an operation is much greater; it may
be serious, in fact, and the decision must be made whether or not
the operation is absolutely necessary. Under any circumstances it is
understood that the anesthetist must be an expert, as there can be
no carelessness and nothing but the best of judgment in causing
anesthesia when there is cardiac defect.
The anesthetic to select is a subject for careful decision, as one
cannot assert which anesthetic is the best.
While chloroform seems occasionally to cause a fatty degeneration of
the heart, or if given too rapidly at first may cause sudden death,
especially in cardiac weakness, ether has its disadvantages, owing
to the increased tension (especially if there is likely to be much
valvular or cerebral excitement), and the greater amount of ether
that must be given, with the attendant danger to the kidneys, which
may have been disturbed from the cardiac conditions. Generally,
however, the better method is perhaps to administer first chloroform
to the point of producing sleep and then to change to ether, the
first mild chloroform narcosis preventing the ether from causing
acute stimulation, and ether being better for the operation, as it
is more of a stimulant. Some anesthetists believe that it is better
to administer morphin, with perhaps atropin hypodermically before
the anesthesia, and then to use ether. Nitrous oxid gas would be
contraindicated as tending to increase arterial pressure, and
therefore endanger a damaged heart; it is a serious danger to
damaged blood vessels.
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