A text-book of practical therapeutics . yapt to cause sudden death. In valvular disease of the heart chloro- 214 DRUGS form may be used with caution, although ether is preferable. Givena case of valvular disease that must be subjected to operation, thechances are better with an anesthetic, as the pain and mental shockare worse for the heart than is the anesthetic. (See SuprarenalGland.) Untoward Effects and their Treatment.—Vomiting after the use ofchloroform develops in about 15 per cent, of cases. Alarming effectsproduced by this drug are far more apt to appear in males than infemales, the r


A text-book of practical therapeutics . yapt to cause sudden death. In valvular disease of the heart chloro- 214 DRUGS form may be used with caution, although ether is preferable. Givena case of valvular disease that must be subjected to operation, thechances are better with an anesthetic, as the pain and mental shockare worse for the heart than is the anesthetic. (See SuprarenalGland.) Untoward Effects and their Treatment.—Vomiting after the use ofchloroform develops in about 15 per cent, of cases. Alarming effectsproduced by this drug are far more apt to appear in males than infemales, the relative proportion being about 6 to 1. Sometimesduring the administration of chloroform the heart or respirationsuddenly ceases, and in some cases this change is preceded by apeculiar shade or cloud which passes over the face of the patient; butdeath may come suddenly and without warning. If untoward effectsappear, the anesthetic must be at once withdrawn and artificialrespiration resorted to. Injections of ether and brandy should be. Fig. 33.—Showing the attitude in which the head should be held to permit theeasy passage of air through the glottis. This position raises the epiglottis and liftsthe soft palate from the tongue. (Martin and Hares method.) given beneath the skin, and the poles of a battery with a rapidlyinterrupted current swept over the body, but not held over the phrenicnerve or The patient must be held head downward, so 1 While few text-books give any specific directions concerning the practical appli-cation of the methods which are to be employed in such emergencies, those that do soforce the physician to a procedure at once dangerous and impractical; for the directionsusually given are, to place the positive pole of the battery on the phrenic nerve asit crosses the anterior scalene muscle at the root of the neck, the negative pole beingpressed against the lower margin of the ribs. A rapidly interrupted current is nowto be used with the purpose


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Keywords: ., bookcentury1900, bookdecade1920, booksubjecttherape, bookyear1922