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Medical ArticlesCondition Of The Throat And Other Internal Organs
The condition of the _throat_ requires the most constant atte...
HERE are two true stories and a remarkable contrast. ...
Foreign Bodies In The Larynx
Laryngeally lodged foreign bodies produce a wheezing respirat...
The Healing Crisis And Retracing
Certain unpleasant somatics that occur while fasting (or whil...
For slight burns, immerse the injured part in cold water, and ...
Part of a raw turnip is grated down to a pulp. As much of this...
Spine Weakness Of The
See Children's Healthy Growth. ...
Use Of The Long Cord
It is often desirable to bring the entire parts of the patien...
Auricular Fibrillation Pathology
Schoenberg [Footnote: Schoenberg: Frankfurt. Ztschr. f. Patho...
Where There Is A Will There Is A Way!
I have been frequently compelled to resort to these milder ap...
Inflammation Of The Brain
See Brain. See also Knee; Limbs, Inflamed; Lungs, etc. ...
These occur in hands and feet where the circulative power is f...
Stage 3 Passing Through The Thoracic Esophagus
The thoracic esophagus will be seen to expand during inspira...
See Band, Flannel. ...
This is usually of traumatic or cauterant origin. If severe o...
There is a usual (normal) temperature in all the blood and tis...
This should always be managed so as to soothe and not excite t...
From The Hygienic Dictionary
Autointoxication.  the accumulations on the bowel wall be...
The Progress Of Disease: Irritation, Enervation, Toxemia
Disease routinely lies at the end of a three-part chain that ...
Is the process whereby the digested food is carried into the b...
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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