|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesAngioneurotic Edema
Angioneurotic edema involving the esophagus, may produce int...
This is usually of traumatic or cauterant origin. If severe o...
Cooling In Heating
Often it is difficult to get a sufficient cooling effect by me...
Eyes Spots On
These spots are of two different kinds, and yet they are very ...
Direction Of The Esophagus
The esophagus enters the chest in a decidedly backward as we...
Tricuspid insufficiency, except as rarely found in the fetus,...
The most striking symptom of diphtheria is the growth of a sub...
Soaping The Head
See Head, Soaping. ...
Readily identified by smell of tar or carbolic. Wash mouth wel...
Tuberculosis Of The Esophagus
Esophageal tuberculosis is not commonly met, but is probably ...
Bruises Case Xx
It frequently occurs to surgeons to receive slight wounds upo...
The Progress Of Disease: Irritation, Enervation, Toxemia
Disease routinely lies at the end of a three-part chain that ...
Bromids And Chloral
If there is much restlessness and the circulation is good, th...
Towels Cold Wet
A towel of the ordinary kind, and full size, is soaked in a ba...
Aortic Insufficiency Aortic Regurgitation
This lesion, though not so common as the mitral lesion, is of...
To Prevent Small-pox
Use _Macrotin_ 1st night and morning, and if nursing or expos...
Malignant Endocarditis Ulcerative Endocarditis
Since we have learned that bacteria are probably at the botto...
Highly Inflamed Throat Croup
If the _throat_ is in a highly inflamed condition, repeated p...
Difficulties Of Esophagoscopy
The beginner may find the esophagoscope seemingly rigidly fi...
Where cold is easily "taken," it is the skin which is defectiv...
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