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Medical ArticlesSymptomatology And Diagnosis Of Foreign Bodies In The Air And Food Passages
Initial symptoms are choking, gagging, coughing, and wheezing...
The only sure sign of the presence of this parasite in the int...
In some cases of this trouble the symptoms are very alarming, ...
Other Kinds Of Cancer
There seem to be many other kinds of cancer, at least if you ...
Almost hopeless. Emetic; artificial respiration. ...
Mechanical Problems Of Esophagoscopic Removal Of Foreign Bodies
The bronchoscopic problems considered in the previous chapter...
Site Of Lodgement
Almost all foreign bodies are arrested in the cervical esoph...
The Repugnant Bowel
I don't know why, but people of our culture have a deep-seate...
This disease consists in a looseness of the bowels, generally...
Rules For Direct Laryngoscopy
1. The laryngoscope must always be held in the left hand, nev...
This troublesome disease is also known as St. Anthony's Fire, ...
See Hives; "Outstrikes;" Saltrome, etc. ...
Cures As Self-applied
Often young people in lodgings are in difficulty for want of s...
An infant's clothing should be soft, warm, and light in weight...
Eyes Inflamed With General Eruptions Over The Body
In some cases the eye trouble is only a part of a general skin...
Ulceration Of The Esophagus
Superficial erosions of the esophagus are by no means an unco...
Relaxation Of Treatment Towards The End Of The Third Period Continuation Of Packs During And After Desquamation
When the patient is through the first part of the period of ...
See Cancer in Foot. ...
Esophagoscopic Extraction Of Foreign Bodies
It is unwise to do an endoscopy in a foreign-body case for th...
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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