|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesMild Reaction Erethic
If the poison is not virulent, and the body of the patient in...
The Use Of The Brain
LET us now consider instances where the brain alone i...
Technic For General Anesthesia
For esophagoscopy and gastroscopy, if general anesthesia is ...
The key to action in case of epidemics prevailing in the distr...
1 Is Water Applicable In All Typhoid Cases?
The question has been raised, whether in typhoid cases, and i...
Compression Stenosis Of The Trachea And Bronchi
Compression of the trachea is most commonly caused by goiter...
Where the juices and organs of the body are thoroughly healthy,...
See Erysipelas. ...
A very useful and comparatively safe method is illustrated i...
This troublesome disease is also known as St. Anthony's Fire, ...
This is an eruption on the skin, often coming suddenly and goi...
Factors Increasing The Blood Pressure
With normal heart and arteries, exertion and exercise should ...
This disease depends upon derangement of the liver. The skin ...
Necessity Of Ventilation Means Of Heating The Sick-room Relative Merits Of Open Fires Stoves And Furnaces
Next to its intrinsic value, our method gives the patient the...
The Surgical Dissection Of The Superficial Bloodvessels Etc Of The Inguino-femoral Region
Hernial protrusions are very liable to occur at the inguino-f...
See Children's Sleep. ...
The Surgical Form Of The Superficial Cervical And Facial Regions And The Relative Position Of The Principal Blood-vessels And Nerves
When the neck is extended in surgical position, as seen in Pl...
In serious cases of this trouble, the patient awakes some time...
If one put into his mouth nothing but food, foreign body acc...
I KNEW an old German--a wonderful teacher of the spea...
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.
Previous: Acute Dilatation Of The Stomach