. Obstetrics for nurses. ll anesthetized;but when they fail to reactpromptly the danger pointhas been reached and themask should be an individual doesnot go to sleep after the administration of a quantity usually sufficientto produce complete anesthetization, the drug should not be forced, butanother should be tried instead, as such patients have an idiosyncrasyto the drug and are liable to be fatally poisoned. For the induction of the usual obstetrical anesthesia (chloroforma la reinc) a dozen or so drops are placed on the mask at the onset ofeach i)ain and the patient is instruc
. Obstetrics for nurses. ll anesthetized;but when they fail to reactpromptly the danger pointhas been reached and themask should be an individual doesnot go to sleep after the administration of a quantity usually sufficientto produce complete anesthetization, the drug should not be forced, butanother should be tried instead, as such patients have an idiosyncrasyto the drug and are liable to be fatally poisoned. For the induction of the usual obstetrical anesthesia (chloroforma la reinc) a dozen or so drops are placed on the mask at the onset ofeach i)ain and the patient is instructed to breathe deeply. After a fewinhalations the sensibility to pain is greatly reduced, while the patientremains semiconscious and responds to commands. When the head isabout to be l)orn, complete anesthesia is induced by a few minutes con-stant ])ut slow administration of the drug. Chloroform cannot I)e givcMi with safety over long ])eriods of time,so its use should be limited to the last part of labor. In Fig. 78.—Giving chloroform—the eyes protectedand the mask resting gently upon the face. THE CONDUCT OF LABOR 145 its administralion may U Ijcgun when the i)erineinn l)egins to bulge,and, in niultiparae, when the cervix is fully dilattd. liy following thisplan partial anesthesia need not, in the usual case, he maintained forlonger than one hour, while complete anesthesia can l)e 1 united to thefew minutes required for the actual delivery. The total jjcriod of admin-istration should not exceed one hour and a half. The advantages of chloroform are that it requires no elaborateapparatus for its administration, that anesthesia is quickly induced, andis rarely followed by dis-agreeable after are in part offset bythe danger of serious andsometimes fatal poisoningwhich may result from itsprolonged administration,especially when the patienthas an idiosyncrasy to thedrug. Ether is quite widely em-ployed in institutional workvery much in the same man-ne
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectobstetrics, bookyear1
