A text-book of practical therapeutics . etic purposes mention should bemade of the so-called anestheticmixtures. Of these the A. C. the best known. It consists of amixture of 1 part of alcohol (sp. gr. ), 2 parts of chloroform ( ), and 3 parts of ether (sp. gr. ). Billroths A. C. is composed of chloroform 3 parts, and ether and alcohol 1 parteach. The Vienna mixture consists of 1 part of chloroform and 5 ofether, and the so-called methylene mixture in 30 per cent, methylicalcohol, and 70 per cent, chloroform. The object of all these mixturesis evident—namely


A text-book of practical therapeutics . etic purposes mention should bemade of the so-called anestheticmixtures. Of these the A. C. the best known. It consists of amixture of 1 part of alcohol (sp. gr. ), 2 parts of chloroform ( ), and 3 parts of ether (sp. gr. ). Billroths A. C. is composed of chloroform 3 parts, and ether and alcohol 1 parteach. The Vienna mixture consists of 1 part of chloroform and 5 ofether, and the so-called methylene mixture in 30 per cent, methylicalcohol, and 70 per cent, chloroform. The object of all these mixturesis evident—namely, to get the anesthetic effect of the ether andchloroform without the cardiac and respiratory effect of either, andthe alcohol when added is to act as a stimulant. As the volatilityof each ingredient varies, the mixture is futile, for the ether evaporatesfirst, and the chloroform next, and the alcohol last. The A. C. popular in England, but not in the United States. A brief anesthesia for dressing painful wounds and burns may be. Fig. 32.—Krohne and Sesemansmodification of Lawries inhaler, withfeather respiration-indicator inner lining is of white felt, theouter case is of leather. The chloro-form may be poured on the felt througha small hole in the leather on the topof inhaler. CHLOROFORM 213 induced by the following mixture largely employed in the great war:Ethyl chloride 5 cc, chloroform 1 cc, ether 24 cc. This quantity isplaced on flannel and put over the patients mouth and nose with apiece of dry flannel over it, and this again is covered by oil silk inwhich is a hole for the nose. Anesthesia starts with the secondbreath and lasts for about ten minutes. Chloroform, when taken internally by the mouth, causes a sensa-tion of warmth in the stomach and a hot, burning taste about the lipsand buccal mucous membrane. In overdose it has produced deathwhen taken in this manner. Comparatively rarely used in internalmedicine, chloroform in the form of the spirit


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Keywords: ., bookcentury1900, bookdecade1920, booksubjecttherape, bookyear1922