XVIIth International Congress of Medicine v.7B, Volume 7, Part 2

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Frowde, 1913
 

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Page 127 - ... intense worry — what happens? The disease is aggravated for weeks or for months and not infrequently death results. The evil effects of the stress of facing the operating room are not only seen immediately, but are perpetuated on the following days and weeks and months by their frequent recall. From this handicap the anoci patient is free — and by so much is the convalescence speeded on its way.
Page 101 - ... agents now employed. It is to be regretted, however, that it is the most difficult to administer properly. The reasons for this are as follows : 1. The physical properties of nitrous oxide are such that this gas must be given from 80 to 95 per cent, pure, in order that the...
Page 36 - ... undesirable. By means of a screw clamp (SC) the amount of air which is to pass through the left tube can be regulated; a narrowing of this tube causes a greater collapse of the lungs during the interruption. The second branching of the tubes is introduced for the purpose of regulating the anesthesia. The ether bottle (E) is interpolated in the left branch; the right branch runs uninterrupted outside of the bottle to unite with the part of the left tube which comes from the ether bottle. When...
Page 126 - Quinin and urea causes a certain amount of edema of tissue which lasts for some time after the wound is healed. 6th. The relaxed abdominal wall will permit exploration of the entire abdominal cavity with ease. If there is no cancer nor acute infection in the field of operation, then the following regions may be blocked as completely and in the same manner as the abdominal wall — viz: the mesoappendix, the base of the gall bladder, the uterus, the broad ligaments and the round ligaments, the mesentery,...
Page 148 - In the final series the patients received from 65-75 per cent, solution of oil-ether — exactly the same percentages that were found useful in animals, and with equally gratifying results.
Page 37 - ... (SV) of a simple construction. To the rubber tubing is attached a graduated glass tube, the lower end of which is immersed under the surface of the mercury in this bottle to a depth corresponding to the pressure which is desired for the intratracheal insufflation. For instance, if the pressure should be not more than 20 mm. of mercury, the glass tube is immersed just 20 mm. below the surface of the mercury. The glass tube is kept in the desired place by...
Page 37 - ... screw clamp (SC). All three rubber stoppers are firmly and permanently wired down to resist various pressures. When the ether bottle is to be refilled during insufflation, both stop-cocks on the left side are closed, while the one on the right side is open. The tube which connects the anesthesia circle of tubing with the intratracheal tube (In.-T.) carries two lateral tubes; one is connected with a manometer (M) , which needs no description, and the other leads to a safetyvalve (SV) of a simple...
Page 126 - DISEASE I believe every one will agree with me that a technique that can carry an advanced exophthalmic goitre case through an operation without increasing the pulse-rate, can all the more readily do as much for any other condition. If ligation is made, it may be performed without removing the patient from his bed. In such a case nitrous oxide may or may not be administered, but a complete blocking of the local field with...
Page 126 - The peritoneum is next everted and a y2 per cent solution of quinin and urea hydrochloride is infiltrated about the line of proposed sutures, and as before the parts are then subjected to momentary pressure. This infiltration serves as a block and as its effects last for several days, it should...
Page 126 - If the brain has received no stimuli during the operation then the closure of the upper abdomen is as easy as the closure of the lower — all is done with the ease of relaxation. What is the result? No matter how extensive the operation, no matter how weak the patient, no matter what part is involved, if anoci...

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