|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesChronic Myocarditis Fibrous
Chronic myocarditis may develop on an acute myocarditis, but ...
A Typical Diseased Colon
The average person also has a prolapsed (sagging) transverse ...
Blood Pressure And Insurance
An epitome of the consensus of opinion of the risk of accepti...
Heat And Weakness
We have over and over again shown in these papers how heat pas...
Climate And Soil
The soil on which one lives is a matter of primary importance;...
Quacks And Quackery Continued
An English physician, who practised during the early part o...
The Contagion Of Scarlatina Very Active
The _contagion_ of scarlatina is very active, and adheres for...
They ware in their foreheads scrowles of parchment, wher...
This is a disease of children. Comes on in consequence of a s...
Signs Of Heart Weakness
It should be remembered that a normal heart may slow to about...
The Fundamental Principle
If you are a true believer in any of the above food religions...
The fundamental principles of peroral endoscopy are best tau...
This very common trouble is caused by one or more of the veins ...
Biscuits And Water
The biscuits referred to are manufactured in Saltcoats.[A] The...
Demonstrations Of The Nature Of Congenital And Infantile Inguinal Herniae And Of Hydrocele
PLATE 39. Fig. 1--The descent of the testicle from the loins ...
The Repugnant Bowel
I don't know why, but people of our culture have a deep-seate...
Although curative attributes were ascribed to the magnet in...
Chloride Of Lime
About the same opinion may be given on _Chloride of Lime_. As...
[As I have never practiced farther South than Cincinnati, and...
If the circulation of air is necessary in any other form of ...
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.