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Medical ArticlesAir-tight Covering
The covering of oiled silk, or guttapercha, so frequently plac...
As intimated in the preceding paragraph, the diet during end...
This trouble is rather a symptom than a disease. It rises from ...
(_Ague in the breast--Inflamed breast_.) This is a disease...
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...
Tuberculosis Of The Esophagus
Esophageal tuberculosis is not commonly met, but is probably ...
Eyes Paralysis Of
The partial paralysis of the muscles of one eye produces doubl...
Our idea is that this is caused by the soda in the soap used. ...
This is best treated by a good large BRAN POULTICE (see) on th...
By this term is meant that condition of pulse in which, thoug...
This disease generally comes on at night, in hot weather, and...
It has long been known that altitude increases the heart rate...
Pulmonary Insufficiency Pulmonary Regurgitation
If this rare condition occurs, it is probably congenital. A ...
Pulmonary Stenosis Pulmonary Obstruction
If stenosis is actually present in this location, the lesion ...
At Nauheim, under the direction of Dr. Theodore Schott, baths...
Weight Loss By Fasting
Loss of weight indicates, almost guarantees, that detoxificat...
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Digestion is the process whereby the food we eat is turned int...
Plate V Laryngeal And Tracheal Stenoses:
1, Indirect view, sitting position; postdiphtheric cicatricia...
It is well to bear in mind that there is scarcely any nourishm...
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
No dyspneic patient should be given a general
anesthetic; because any patient dyspneic enough to need a tracheotomy
for dyspnea is depending largely upon the action of the accessory
respiratory muscles. When this action is stopped by beginning
unconsciousness, respiration ceases. If the trachea is not immediately
opened, artificial respiration instituted, and oxygen insufflated, the
patient dies on the table. Skin infiltration along the line of
incision with a very weak cocaine solution (1/10 of 1 per cent),
apothesine (2 per cent), novocaine, Schleich's fluid or other local
anesthetic, suffices to render the operation painless. The deeper
structures have little sensation and do not require infiltration. It
has been advocated that an interannular injection of cocaine solution
with a hypodermic syringe be done just prior to incision of the
trachea for the purpose of preventing cough after the incision of the
trachea and the insertion of the cannula. It would seem, however, that
this introduces the risk of aspiration pneumonia and pulmonary
abscess, by permitting the aspiration and clotting of blood in small
bronchi, followed by subsequent breaking down of the clots. As the
author has so often said, The cough reflex is the watch dog of the
lungs, and if not drugged asleep by local or general anesthesia can
safely be relied upon to prevent all possibility of the blood or the
pus which nearly always is present in acute or chronic conditions
calling for tracheotomy, being aspirated into the deeper air-passages.
Cocaine in any form, by any method, and in any dosage, is dangerous in
very young children.