A text-book of practical therapeutics . drawn through its meshes. The anesthetist should never permit himself to hurry the patientunder the effect of the drug nor should he permit any preliminarymeasures or the primary incision to be made until the patient is well 14 210 DRUGS under. Many deaths have resulted from carelessness in these par-ticulars. The administration must be gradual, as pushing the anestheticis dangerous. The best way to use the drug is by means of a chloro-form dropper ampoule, which is so constructed that it falls upon theinhaler drop by drop. The safest method of administr
A text-book of practical therapeutics . drawn through its meshes. The anesthetist should never permit himself to hurry the patientunder the effect of the drug nor should he permit any preliminarymeasures or the primary incision to be made until the patient is well 14 210 DRUGS under. Many deaths have resulted from carelessness in these par-ticulars. The administration must be gradual, as pushing the anestheticis dangerous. The best way to use the drug is by means of a chloro-form dropper ampoule, which is so constructed that it falls upon theinhaler drop by drop. The safest method of administration is by Esmarchs or Lawriesinhaler, because these provide a free circulation of air and the atten-tion of the anesthetizer is not distracted from the respiratory move-ment by the manipulation of complicated apparatus. The dangers of chloroform seem to be considerably decreased bythe simultaneous administration of oxygen gas with the anestheticvapor. (For the best method of using oxygen and chloroformtogether see Oxygen, Important.). Fig. 30.—Esmarch inhaler and chloroform bottle. The inhaler consists of a wireframe covered by a piece of thin flannel. The author largely agrees with Lawries published conclusions,which are as follows with slight modifications: 1. The chloroform should be given on absorbent cotton, stitchedin an open cone or cap. 2. To insure regular breathing, the patient, lying down, with theclothing loose about the neck, heart, and abdomen, should be made toblow into the cone, held at a short distance from the face. The rightdistance throughout the inhalation is the nearest which does not causestruggling or choking or holding of the breath. 3. The administrators sole object while producing anesthesia isto keep the breathing regular. As long as the breathing is regularand the patient is not compelled to gasp in chloroform at an abnormalrate, there is comparatively little danger. CHLOROFORM 211 4. Irregularity of the breathing is generally caused by insuffic
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Keywords: ., bookcentury1900, bookdecade1920, booksubjecttherape, bookyear1922
