WeRead Powered by ReaderPub
Handbook of anæsthetics cover

Handbook of anæsthetics

Chapter 163: FOOTNOTES:
By J. Stuart Ross
Open in WeRead

Explore more books like this:

Drugs/Alcohol/PharmacologyHealth & MedicineHow To ...

About This Book

The handbook provides a concise practical guide to anaesthetic practice, beginning with physiological effects, shock, and asphyxia, then outlining methods of anaesthesia, patient preparation and clinical observation. Subsequent chapters review inhalational agents (nitrous oxide, ether, chloroform, ethyl chloride), gas mixtures and intratracheal techniques, inhaler and apparatus design, sequences of agents, and accident prevention and management. It addresses postoperative sequelae, patient positioning and criteria for choosing agents, and concludes with chapters on local and spinal anaesthesia. Emphasis is placed on safe administration, physiological monitoring, and practical details of equipment and technique.

S

  • Saline injections, per rectus, 42
  • subcutaneous, 14
  • Schimmelbusch’s mask, 28, 116
  • Scopolamine, 44, 103
  • Secondary syncope, 17, 138, 143
  • Secretion of mucus, 40, 76
  • of urine, 168
  • Sedatives, 12, 42
  • Selection of anæsthetic, 162
  • Semi-open method, 28
  • Septic cases, 9, 60, 156, 168
  • Sequelæ of anæsthesia, 100
  • Sex, relation to anæsthesia, 165
  • Shipway, Dr, 91, 101
  • Shock, 5
  • difference between syncope and, 142
  • Short, Mr Rendle, 154
  • Sickness (see Vomiting)
  • Sighing, 40
  • Sight-feed machines for gas-oxygen, 70
  • Signs of anæsthesia, 36, 53, 65
  • Silk, Dr J. W., 23, 87
  • Single dose anæsthetics, 30, 163
  • Sitting posture, 21, 158
  • Slow respiration, 39
  • Spasm, muscular, 19
  • of jaw muscles, 15
  • of larynx, 16, 26, 169
  • Specific gravity of chloroform, 109
  • of ether, 74
  • Spinal anæsthesia, 193
  • Stages of anæsthesia, 31
  • Starvation, a cause of shock, 9
  • of acidosis, 155
  • Status lymphaticus, 148
  • Stertor, 40, 53
  • Stimuli from field of operations, 6
  • Stomach tube, before operation, 141
  • Stovaine, 173
  • Stridor, 16, 26, 40
  • Struggling, 34
  • Strychnine, 147
  • Subcutaneous saline, 14
  • Swallowing, movements of, 33
  • Sylvester’s method of artificial respiration, 146
  • Syncope, 142
  • Syringe for local anæsthesia, 176
  • for spinal anæsthesia, 176

T

  • Teeth, danger of dropping of into larynx, 16
  • extraction of, 54, 57, 128, 131, 163
  • Teter, Dr., on nitrous oxide and oxygen, 68
  • Thomson, Prof. Alexis, 12, 158
  • Thomson, Torrance, on intratracheal anæsthesia, 96
  • Thoracic operations, local anæsthesia in, 186
  • Three-way tap for nitrous oxide, 50, 128
  • Thyroid gland, see Goitre
  • Time for operations, 42
  • Time afforded by single dose anæsthetics, 163
  • Tongue falling back of, 16
  • forceps for, 24
  • operations upon, 97, 118, 166
  • local anæsthesia for, 191
  • Tonsils and adenoids, 127, 166
  • Trachea, mucus in, 40
  • pressure upon, 17
  • Trachetomy, 142, 185
  • Tremor, ether, 38
  • Trendelenberg posture, 158
  • Tropacocaine, 173
  • Turner, Dr Logan, 125

U

  • Urine, secretion of prevented by morphia, 168

V

  • Vagus nerve, 110, 145
  • Valved method, features of, 29
  • Vapour method, ether, 90
  • ethyl chloride, 125
  • Vaso-motor system, in shock, 9
  • in asphyxia, 17
  • in nitrous oxide, 46 (and see Physiology)
  • Veins, large, emptying into heart, 10
  • engorgement of, 20, 151
  • Venesection in syncope, 147
  • Veronal, 12
  • Vicious circle of asphyxia, 20
  • Vital medullary centres, 3
  • Vomiting, 140, 152
  • impending, 39, 141

W

  • War, anti-shock, measures in, 11
  • lessons of, 61, 151
  • Warming anæsthetic vapours, 62, 90, 101
  • Wedge for opening clenched jaws, 25
  • Withdrawal of anæsthetic, for stridor, 26
  • for breath holding and struggling, 34
  • for syncope, 145

FOOTNOTES:

[1] This can be done to a very limited extent indeed if the ordinary valves here described are used. See page 68.

[2] A safeguard provided on some machines is a side lead from the oxygen supply direct to the facepiece whereby pure oxygen can be given if required.

[3] The amount of oxygen in a cylinder is designated in terms of cubic feet. A cylinder which would hold 100 gallons of N2O, will contain 30 cubic feet of oxygen.

[4] In the figure the Clover is shown with gas valves and 2-gallon bag, arranged for “gas and ether.”

[5] Trans. xvii. Internat. Med. Cong. Sub-sect. (vii.) Part i.

[6] Journal Amer. Med. Assoc., Sept. 1913.

[7] Trans. xvii., Internat. Med. Cong. Sub-sec. (vii.), Part i.

[8] Trans. xvii., Internat. Med. Cong., Sub-sec. (vii.), Part ii.

[9] Trans. xvii., Internat. Med. Cong., Sub-sec. (vii.), Part I.

[10] The student should be careful to be sure that the bulb is attached to the inlet pipe: if by accident it be slipped on to the outlet pipe, the first compression of the bulb will eject a stream of liquid chloroform from the instrument.

[11] The author described this method in a paper read before the Scottish Branch of the British Dental Association, and afterwards published in the Journal of the Association under the title “The Edinburgh System of Dental Anæsthesia.” To the use of this term Dr J. H. Gibbs, of Edinburgh, took strong exception in a letter to the Editor of the Journal. The author has and had no desire to convey the impression that this system was universally used in Edinburgh, but simply that it is the method taught by Dr Guy, Dean of the School, to the students in the Extraction Room.

Transcriber’s Notes:

1. Obvious printers’, punctuation and spelling errors have been corrected silently.

2. Where hyphenation is in doubt, it has been retained as in the original.

3. Some hyphenated and non-hyphenated versions of the same words have been retained as in the original.