Virginia medical monthly . n these cases ofstarvation; for they all doubtless have bothacetone and diacetic acid intoxication, and theadditional amount caused by the anaestheticmay be more than the system can stand. Thealkali can be given by mouth, by bowel, orboth. I recently saw a IJainmstedt operation mostskilfully done by a colleague, but it endedfatally thirty-six hours later. The baby wasa haemophiliac, and oozed from every severedcapillary until it was exsanguinated. Our most lasting lessons are learned frommisfortunes. This case teaches that we shouldtake the coagulation-time in every
Virginia medical monthly . n these cases ofstarvation; for they all doubtless have bothacetone and diacetic acid intoxication, and theadditional amount caused by the anaestheticmay be more than the system can stand. Thealkali can be given by mouth, by bowel, orboth. I recently saw a IJainmstedt operation mostskilfully done by a colleague, but it endedfatally thirty-six hours later. The baby wasa haemophiliac, and oozed from every severedcapillary until it was exsanguinated. Our most lasting lessons are learned frommisfortunes. This case teaches that we shouldtake the coagulation-time in every case, and in-augurate prophylactic measures when indi-cated. The two fundamental things in the techniqueof these operations are to save time and do not mean that the operation should behurried through. Time is saved beforehand,by having everything in readiness, so that oncethe operation is started it can go forward with-out delay. A tiny little mite of a baby is simply lostin the middle of a big operating-table. The. Table being filled with hot water bass- blankets, the sheets, the towels and other linenare so big and awkward that they are con-stantly in the way. He sinks into the pillowthat has been put under him, and one is everfearful lest the hot water bags laid next to him are going to burn, instead of warm feet have to be held by an assistant, whois ever in the way. The anaesthetist is so close that he is a con-stant source of apprehension, lest he and histricks contaminate the wound. One work- ina cramped and awkward position, and re-ad-justments are often necessary. We wish to getthrough with a minimum of anaesthetic, forwhen these little patients have enough of theanaesthetic, they have too much, to put it inplain Irish.
Size: 1782px × 1403px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
