The surgical assistant, a manual for students, practitioners, hospital internes and nurses . to pursue, he should withdraw the mask andawait further developments. At no time should an anes-thetist administer a single dose of the vapor without havingan accurate appreciation of hozv far the patient is under/and in what condition he is. Haphazard anesthetization isbad anesthetization; and guesswork is never excusable, The Respiration. 89 The Respiration, which may be jerky and irregular orrapid, in the first stage, should be regular and slow in thesecond stage of narcosis, when it is usually more
The surgical assistant, a manual for students, practitioners, hospital internes and nurses . to pursue, he should withdraw the mask andawait further developments. At no time should an anes-thetist administer a single dose of the vapor without havingan accurate appreciation of hozv far the patient is under/and in what condition he is. Haphazard anesthetization isbad anesthetization; and guesswork is never excusable, The Respiration. 89 The Respiration, which may be jerky and irregular orrapid, in the first stage, should be regular and slow in thesecond stage of narcosis, when it is usually more or lessstertorous. Blowing of the cheeks is in most cases a signof deep narcosis. Flapping of the soft palate gives a stridu-lent or sonorous character to the stertor, which latter, beingdue in part, at least, to falling back of the tongue, can usu-ally be overcome by lifting the jaw forward. This is accom-plished by pressure of the middle finger against the angleof the inferior maxilla,—the forefinger is thus left free tofeel the facial pulse, and the thumb to test the eye Fig. 23. Administration of chloroform. The jaw is being held forward by-pressure of the middle finger of one hand ; the index finger is on the facialartery and the thumb is testing the conjunctival reflex. Note also the towelabout the head, which is extended on a flat pillow; and the unconstrainedposition of the arms and hands. Supporting the jaw on one side only will usually suffice,and it is advisable to change occasionally from one side tothe other to obviate the soreness which otherwise oftenresults from continuous pressure upon one spot. The jawmay also be held forward by catching the lower incisor teethin front of the upper ones (if they be large and strong), andit can be maintained in this position by light support withone finger under the chin. If extension of the jaw does not 90 The Surgical Assistant. entirely overcome the stertor, nothing further need be done,provided neither cyanosi
Size: 1961px × 1274px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1905
