A text-book of practical therapeutics . g of the body, if the face is pale, head downward. On the otherhand, if the face is flushed and cyanotic it indicates respiratory, notcardiac, failure, and this position is not to be resorted to. The 1 The mortality due to etherization is about 1 in 20,000! or, according to the com-bined statistics of Julliard and Ormsby, in 407,553 cases there were 25 deaths, or 1 in16,302. (Compare Chloroform.) ETHER 277 physician should also employ hypodermic injections of strychnine,atropine, and digitalone, or more rarely, an intravenous injection ofammonia, which i
A text-book of practical therapeutics . g of the body, if the face is pale, head downward. On the otherhand, if the face is flushed and cyanotic it indicates respiratory, notcardiac, failure, and this position is not to be resorted to. The 1 The mortality due to etherization is about 1 in 20,000! or, according to the com-bined statistics of Julliard and Ormsby, in 407,553 cases there were 25 deaths, or 1 in16,302. (Compare Chloroform.) ETHER 277 physician should also employ hypodermic injections of strychnine,atropine, and digitalone, or more rarely, an intravenous injection ofammonia, which is more dangerous, but better than the others ina pressing emergency because it is more rapid in its action. Etheris often given hypodermically under such circumstances, and mayoccasionally do good; but its use is a bad practice, for if the heartor respiration is already depressed by ether, the employment ofstill more of the drug simply makes matters worse. The cases inwhich such a line of treatment is followed by good results are those. Fig. 44.—Illustrating how traction on the tip of the tongue draws the epiglottisaway from the glottic opening and permits free ingress of air. Also showing howletting the tongue fall back in the mouth in anesthesia would close the air passagesand permit the epiglottis to interfere with breathing. (This is important.) For afull description see article on Asphyxia. (From a research by Martin and the author.) in which the failure of respiration is not due to a saturation of thebody with ether, but to asphyxia produced by mechanical interfer-ence with free breathing, as, for example, the presence of mucusin the air-passages or a too close application of the inhaler to theface. In such cases the hypodermic injection of ether causes somuch local pain and irritation as reflexly to excite respiratory move-ments, as well as to stimulate directly the respiratory center togreater Alcohol ought not to be used if the other drugs 1 As consciousness
Size: 1642px × 1521px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, booksubjecttherape, bookyear1922
