The art of anaesthesia . Fig. 122 —The Fowler position. The head of the bed elevated. hypodermic-ally. Enemas of hot coffee or coffee andbrandy (2 Oz.) are efficient. Hysteria.—Where, by virtue of improper preliminarytreatment, the induction has been stormy, it is not unusualto find an equally stormy recovery. Neurotic, hystericalwomen, particularly if addicted to alcohol or drugs, maygive a great deal of trouble. Every case must be individ-ualized. Such patients often bear large doses of morphine POST-OPERATIVE TREATMENT OF PATIENT 293 well and can be quieted only by this means. Of greaterimp
The art of anaesthesia . Fig. 122 —The Fowler position. The head of the bed elevated. hypodermic-ally. Enemas of hot coffee or coffee andbrandy (2 Oz.) are efficient. Hysteria.—Where, by virtue of improper preliminarytreatment, the induction has been stormy, it is not unusualto find an equally stormy recovery. Neurotic, hystericalwomen, particularly if addicted to alcohol or drugs, maygive a great deal of trouble. Every case must be individ-ualized. Such patients often bear large doses of morphine POST-OPERATIVE TREATMENT OF PATIENT 293 well and can be quieted only by this means. Of greaterimportance, however, than the mere annoyance caused bysuch a condition are the suicidal tendencies which may sud-denly appear in such patients. How many of such haveescaped the vigilance of the nurse and flung themselvesfrom the nearest window to the courtyard below! Whilesuch extremes are uncommon, the possibility of a calamityof this nature should always be borne in Fig. 123.—The Shock position. The foot of the bed elevated. Protracted Unconsciousness.—We may presumethat a patient who comes from the operating room withouthaving vomited since the conclusion of the operation, whoseeyelids are separated, eyeballs fixed, and whose lower jawoffers no resistance when Ave open and close it, will notrecover consciousness for some time. If the administra-tion of the anaesthetic has been such as to permit of anaccumulation of the drug employed, , by the rectal 294 ANESTHESIA method; the recovery will be much retarded. The use ofmorphine and scopolamine, or of morphine alone, oftencauses the patient to fall into a deep sleep after the reflexeshave returned. If left alone they may sleep for four or fivehours. This sleep can scarcely be ascribed to an uncon-sciousness from the anaesthetic. The return of consciousnessshould date from the moment the patient is capable ofanswering questions rationally. Unless roused, a patient,though fully conscious, wil
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanesthe, bookyear1919
