VIEW THE MOBILE VERSION of www.homemedicine.ca Informational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Angioneurotic Edema

Angioneurotic edema involving the esophagus, may produce int...

Acute Esophagitis

This is usually of traumatic or cauterant origin. If severe o...

Cooling In Heating

Often it is difficult to get a sufficient cooling effect by me...

Eyes Spots On

These spots are of two different kinds, and yet they are very ...

Direction Of The Esophagus

The esophagus enters the chest in a decidedly backward as we...

Other Lesions

Tricuspid insufficiency, except as rarely found in the fetus,...

Diphtheria

The most striking symptom of diphtheria is the growth of a sub...

Soaping The Head

See Head, Soaping. ...

Carbolic

Readily identified by smell of tar or carbolic. Wash mouth wel...

Tuberculosis Of The Esophagus

Esophageal tuberculosis is not commonly met, but is probably ...

Bruises Case Xx

It frequently occurs to surgeons to receive slight wounds upo...

The Progress Of Disease: Irritation, Enervation, Toxemia

Disease routinely lies at the end of a three-part chain that ...

Bromids And Chloral

If there is much restlessness and the circulation is good, th...

Towels Cold Wet

A towel of the ordinary kind, and full size, is soaked in a ba...

Aortic Insufficiency Aortic Regurgitation

This lesion, though not so common as the mitral lesion, is of...

To Prevent Small-pox

Use _Macrotin_ 1st night and morning, and if nursing or expos...

Malignant Endocarditis Ulcerative Endocarditis

Since we have learned that bacteria are probably at the botto...

Highly Inflamed Throat Croup

If the _throat_ is in a highly inflamed condition, repeated p...

Difficulties Of Esophagoscopy

The beginner may find the esophagoscope seemingly rigidly fi...

Cold Taking

Where cold is easily "taken," it is the skin which is defectiv...



Anesthesia In Heart Disease





Category: Uncategorized
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.






Previous: Acute Dilatation Of The Stomach



Add to del.icio.us Add to Reddit Add to Digg Add to Del.icio.us Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network
Report
Privacy
SHAREADD TO EBOOK


Viewed 1246