Operative surgery, for students and practitioners . with the Gwathmeyapparatus. The ano?sthetic may be administered through a bent metaltube placed in the mouth or a mouth-gag which is provided with per-forated tubes along the blades may be used in these cases, and has GEXERAL COJNSIDERATIONS. the additional advantage of being a mouth-gag at the same time(Fig 3). Oxygen may be nsed as the medium instead of air in ether orchloroform ana?sthesia. For this purpose the Gwathmey apparatusmay be used, the rubber tube from the hand bulb or foot pump beingdisconnected and applied to the oxygen tank. T
Operative surgery, for students and practitioners . with the Gwathmeyapparatus. The ano?sthetic may be administered through a bent metaltube placed in the mouth or a mouth-gag which is provided with per-forated tubes along the blades may be used in these cases, and has GEXERAL COJNSIDERATIONS. the additional advantage of being a mouth-gag at the same time(Fig 3). Oxygen may be nsed as the medium instead of air in ether orchloroform ana?sthesia. For this purpose the Gwathmey apparatusmay be used, the rubber tube from the hand bulb or foot pump beingdisconnected and applied to the oxygen tank. The oxygen thuspasses through the ether or chloroform bottles to the mask. Thisplan gives a safe and satisfactory anaesthesia. The administration of ether may be preceded by nitrous oxide upto the point of unconsciousness and loss of resistance, when the etheris gradually substituted. Ethyl chloride may be used for childreninstead of nitrous oxide. This plan eliminates the struggling andexcitement of the first stage and represents less ether Fig. 3.—Mouth-gag with Perforated Tubes along Blades. Arrow A indi-cates ends of tubes to which the rubber tubes carrying the ansesthetic vapor areattached. It is desirable in most cases as a routine practice to administer,half an hour before commencing the angesthetic, a dose of morphing]\ Ve to ^/^ and atropin gr. V150 to ^Aoo- The patient goes underthe anaesthetic more readily and less ether is required to keep himunder. This is especially true of alcoholics and athletes. This pre-liminary dose may be omitted in the very young and in the old andfeeble. Rectal Administrafio)! of Ether has been resorted to Avith varyingdegrees of satisfaction for operations upon the head, neck, and Gwathmey apparatus may be used for this method of ansesthesia. Chloroform.—Chloroform may be administered by the open ordrop method, using a Schimmelbusch mask and a drop bottle, or itmay be administered in vapor form by forcing a current of
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Keywords: ., bookauthormcgrathj, bookcentury1900, bookdecade1910, bookyear1913
