|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
See Indigestion. ...
THE ability to be easily and heartily amused brings a wholeso...
The Throat Should Be Covered With A Wet Compress I E A Piece Of
linen four to eightfold, according to its original thickness, d...
Though not often fatal, this illness gives serious trouble. It...
Eyes Failing Sight
This often comes as the result simply of an over-wearied body ...
Persons suffering from nervous prostration have probably allow...
The question often arises as to the ability of children to bea...
Morning Sickness Of Pregnant Females
The most efficient and certain remedy for this symptom is _Ma...
Cancers take on a variety of forms, distinguished by differen...
Highly Inflamed Throat Croup
If the _throat_ is in a highly inflamed condition, repeated p...
is a most efficient remedy applied to old irritable _varicose...
It is sometimes desired to make traction on an irregularly s...
Filling The Boiler Of The Body-engine
The Need of Water in the Body-Engine. If you have ever taken ...
Other Forms Of Rest
DO you hold yourself on the chair, or does the chair ...
Introduction Of The Bronchoscope
No one should do bronchoscopy until he is able to expose the ...
Often in the case of delicate infants or children, the bones o...
The Relations Of The Principal Bloodvessels To The Viscera Of The Thoracico-abdominal Cavity
The median line of the body is occupied by the centres of the...
Lather How To Make
One of the most powerful soothing influences which can be had,...
For all kinds of burning inflammatory pain in the eyes, the fo...
Esophagoscopy For Foreign Body
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