Medical ArticlesAcetic Acid
Brown recommends diluted _Acetic Acid_ as a specific against ...
Ulcers Case Xxix
The peculiarity of the present case arose from neglect in eva...
The proper cooking of this root is so important for health, ow...
SELF-CONSCIOUSNESS may be truly defined as a person's...
See Acidity in Stomach. ...
Bronchoscopy In Malignant Growths Of The Trachea
The trachea is often secondarily invaded by malignancy of the...
TO most people self-control means the control of appe...
See Pain. ...
Fatty degeneration of the heart muscle may be caused by acute...
The Need Of Pure Air
Free Air is Pure. As air, in the form of wind, actually sweep...
How Nuts should be Used. Another form of fat is the meat of ...
The Surgical Dissection Of The Axillary And Brachial Regions Displaying The Relative Order Of Their Contained Parts
All surgical regions have only artificial boundaries; and the...
The delusion that health can be restored by swallowing drugs i...
(_Acetate of Copper Verdigris_) applied to _Cancerous_ ulcers...
Differential Diagnosis Of Ulcer Of The Esophagus
Simple ulcer requires the exclusion of lues, tuberculosis, e...
When soft, friable substances, such as a bolus of meat, beco...
Breath And Muscles
Sometimes difficulty of breathing is due, not to anything wron...
This affection, though it somewhat resembles a common boil, a...
The Guidance Of The Body
THE literature relating to the care of the human body...
The Malignant Forms Of Scarlet-fever
are caused by the character of the epidemy, but, perhaps, mor...
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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