A
- Abdominal operations,
ix,
7
- local anæsthesia in,
187
- Abdominal muscles, rigidity of,
19
- Abnormalities of anæsthesia, minor,
38
- major,
140
- Acapnia,
10,
29,
39
- Accidents of anæsthesia,
140
- Acetonuria,
153
- Acidosis,
153
- Adenoids,
127,
166
- in status lymphaticus,
148
- Adrenalin,
175
- danger of, with chloroform,
113,
166
- Aedentulous patients,
23
- After-effects of anæsthetics, see Sequelae
- Ages, dosage of morphia at various,
45
- selection of anæsthetic at various,
164
- Airshaft, natural,
96
- Airway, natural,
15,
31,
114,
145
- artificial,
23
- Alcoholics, anæsthesia in,
2,
87,
103,
137,
165
- Alkaloids,
12,
43,
88,
103
- Aneurysm,
56
- Anoci-association,
11
- Anoxæmia,
15
- Arm, management of in anæsthesia,
157
- regional anæsthesia of,
181
- Arteries, spouting of,
x,
37
- Arterio-sclerosis,
56,
167
- Artificial respiration,
146
- Asphyxia,
15
- Athetosis,
38
- Atropine,
43,
45,
112,
147
- Auer and Meltzer,
96
B
- Barth 3-way tap,
50
- Bicarbonate of soda in acidosis,
156
- Bladder, reflexes from,
39,
168
- local anæsthesia in operations upon,
190
- Blistering, by chloroform,
109
- Blood, changes in, during anæsthesia,
207
- spouting of, from cut arteries,
x,
37
- Blood-pressure, in natural sleep,
1
- in shock,
6
- in asphyxia,
17
- in nitrous oxide,
46
- in ether,
75
- in chloroform,
110
- in ethyl chloride,
122
- clinical observation of,
37
- Blowing respiration,
34,
89
- Boothby, on ether percentages,
99
- Boyle, Mr Leonard,
70
- Brachial plexus, nerve blocking in,
181
- Brain, see Nervous System
- local anæsthesia for operation upon,
191
- Breath-holding,
34,
112,
114
- Breathing, deep (see Acapnia)
- Bronchitis,
150
C
- Carbon-dioxide,
10,
18,
206
- Cardiac cyanosis,
37
- Cardiac disease,
107
- Cardiac failure (see Syncope)
- Castration, anæsthesia in,
169
- C.E. mixture,
83,
134,
137
- Cells, nerve, changes in,
5
- Centripetal impulses,
6
- Children,
45,
94,
125,
164
- Chloretone,
93
- Chloride of ethyl (see Ethyl Chloride)
- Chloroform, administration of,
113
- decomposition of,
109
- delayed poisoning by,
153
- physiology of,
109
- Choice of anæsthetics,
162
- Circulation, observation of,
x,
37
- in shock,
10
- in asphyxia,
17
- in valved breathing,
29
- in nitrous oxide,
46
- in ether,
75
- in chloroform,
110
- in ethyl chloride,
122
- in C.E. mixture,
131
- failure of (see Syncope)
- Circumcision, anæsthesia in,
169
- Clarke’s apparatus,
69
- Clenching of Jaws,
15,
24
- Clinical phenomena of asphyxia,
18
- of normal anæsthesia,
33
- Closed ether,
78
- Closed method, features of,
29
- Clover’s inhaler,
78,
138
- Cocaine,
170
- Collapse (see Syncope)
- Conduction of nerve impulses,
3
- Connell, Karl,
90,
205
- Conjunctival reflex,
31,
35
- Convulsions,
17
- Corneal reflex,
32,
35
- Crile, Prof.,
5,
9
- Crowing respiration,
16,
169
- night crowing,
148
- Cyanosis,
18,
37,
53
- Cylinders for nitrous oxide,
43
- for oxygen,
64
D
- Dangers of chloroform, Prof. L. Hill upon,
120
- Death, causes of,
17,
110,
140,
144,
148
- Decomposition of chloroform,
109
- of ether,
74
- Deep breathing,
10
- Degrees of anæsthesia,
31
- Dental anæsthesia,
54,
57,
128,
131,
163
- Depth of anæsthesia,
36
- Dextrose in acidosis,
156
- Difficulties of anæsthesia, major,
140
- minor,
38
- Dilatation of pupils,
5,
17,
35,
53,
66,
125,
136,
141,
143
- Disease, relation of anæsthesia to,
166
- acute infectious,
168
- Dislocations, anæsthesia in reduction of,
164
- Dorsal position,
157
- Dosimetric method for chloroform,
114
- for ether,
90
- Dott, Mr N., direct laryngoscope,
104
- Douche method,
20
- Dread (see Fear)
- Drop bottles; chloroform,
117
- ether,
83
- Drop method,
30,
83
- Drugs for local and spinal anæsthesia,
170 to 174
E
- Emphysema,
167
- Empyæma,
167,
187
- Enema, before operation,
42
- Ether,
74, et seq.
- closed,
78
- intratracheal,
96
- open,
83
- physiology of,
75
- rectal,
93
- warmed vapour,
90
- Ether, respiratory sequelæ of,
150
- Ether tremor,
38
- Ethyl chloride,
122, et seq.
- combined with nitrous oxide,
128
- freezing anæsthesia by,
200
- Eucain,
174
- Excitement (see Struggling)
- Extraction of teeth (see Dental Anæsthesia)
- Eye reflexes, definition of,
31
F
- Face-down posture,
157
- Face, adaptation of masks to,
21,
52,
83
- Face-pieces for nitrous oxide,
51
- False anæsthesia,
41
- Faradism of motor nerves in anæsthesia,
3
- Fat patients,
158,
165
- Fatty changes after anæsthesia,
153
- , effects of,
9
- prevention of,
11,
43,
88
- Feeble patients,
168
- Ferguson, Dr., W. J.,
87
- Fingers, regional anæsthesia for,
184
- Flame, open, dangers of,
74,
104
- Forceps, tongue,
24
- Food before anæsthesia,
42
- Foreign bodies in the larynx,
16
- Freezing analgesia,
201
- Fright (see Fear)
G
- Gags,
25
- Gardner, Mr Bellamy,
23,
24,
83
- Gas and air,
54
- Gas and ether,
138
- Gas and ethyl chloride,
128
- Gas-oxygen,
60
- Gasping,
40
- Genito-urinary operations,
168
- Glossotilt,
24
- Glottis, spasm of,
16,
20,
26,
105
- Goitre, anæsthesia for,
160,
185
- Goitre, exopthalmic,
9,
167
- Grey and Parsons on shock,
6
- Guy, Dr Wm.,
128
- Guy-Ross, gas oxygen method,
131
- Gwathmey, warmed ether vapour,
90
- oil-ether,
93
H
- Hæmorrhage, as a factor in shock production,
9
- observation of, by anæsthetist,
x,
37
- Hæmorrhoids, local anæsthesia for,
191
- Harcourt, Vernon,
114
- Head and neck operations, position for,
158
- Head and neck, raising,
152
- lowering,
110,
145
- extra pillow in deep chested patients,
157
- Heart, failure in asphyxia,
17
- observation of,
37
- action of ether upon,
75
- of chloroform upon,
110
- of ethyl chloride upon,
122
- failure of, in secondary syncope,
144
- Heart disease, anæsthetics in,
167
- Henderson, Yandell,
10,
29
- Hernia, local anæsthesia in,
189
- Heroin,
44
- Hewitt, Sir Frederick,
22,
50,
62,
81,
137
- Hill’s direct laryngoscope,
104
- Hill, Prof. Leonard,
111,
120
- Hornabrook,
87,
123
- Hydrochloric acid, as an impurity in chloroform,
109
- Hypnotics,
12,
42
- Hypodermic medication,
12,
42
I
- Impurities of anæsthetics,
74,
109,
122
- Infiltration analgesia,
175
- Inhalers, Clover,
78
- Clarke,
68
- Guy,
128
- Guy-Ross,
130
- Hewitt,
50,
62,
81
- Junker’s,
115
- Ormsby,
81
- Paterson,
58
- Rendle,
135
- Inhibition, vagal,
111,
143
- Intestinal obstruction,
141,
189
- Intranasal surgery,
160,
166,
192
- Intratracheal method,
96
- Kelly’s instrument for,
100
- Shipway’s,
101
- Inversion, Leonard Hill’s experiments upon,
110,
111
J
- Jactitations,
53
- Jaundice,
154
- Jaws, clenching of,
15,
26
- falling back of,
16
- operations upon,
166
- management of, in anæsthesia,
23,
83
- Joints, anæsthesia in dislocation of,
164
- Junker’s inhaler,
115
K
- Kidney, position for operations upon,
168
- Kelly’s intratracheal instrument,
100
L
- Labour, anæsthesia in,
44,
169
- Lane, Sir Arbuthnott,
14
- Laryngeal stridor,
16,
20,
26,
40,
169
- Levy, Goodman,
112,
145
- Light anæsthesia, dangers of, in chloroform,
9,
112
- Levy’s views,
113
- Light reflex,
32
- Local anæsthesia,
170 et seq.
- Lowering of head and shoulders,
110,
145
- Lumbar puncture, site for,
196
- Lungs, ventilation of, by normal breathing,
96
- by intratracheal method,
97
- Lymphatism,
148
M
- Malcolm, J. D.,
9
- Marshall, Dr Geoffrey,
70
- Masks for chloroform,
110
- for ether,
82
- for perhalation method,
28
- Massage of heart,
148
- Mechanical asphyxia,
15
- Meltzer and Auer, on intratracheal method,
96
- Menstruation,
169
- Micturition before nitrous oxide,
51
- Mixtures, C. E.,
83,
134,
137
- of nitrous oxide and oxygen,
60
- of nitrous oxide and ethyl chloride,
128
- Morphine,
12,
43,
152
- Mouth, breathing through,
22
- Mouth, operations upon,
165
- Mouth props,
22
- Mucus in air passages,
40
- Musculo-spiral paralysis,
157
- Muscles in anæsthesia,
ix,
3,
19,
34
- Muscle tone,
3,
19,
53
N
- Nasal breathing,
23,
166
- Naso-pharyngeal catarrh,
151
- Nasal methods of giving nitrous oxide,
57
- Nasal tube for Junker’s bottle,
119
- Neck, position of,
20
- relaxation of muscles of,
21
- posture for operation upon,
159
- tumours and inflammatory swellings in,
7,
166
- Nephritis, influence of, upon choice of anæsthetics,
77,
168
- Nervous system, effects of anæsthetics upon,
2,
75
- Nerves, peripheral, unaffected by anæsthetics,
3
- Nerve blocking,
12,
179
- Night-crowing,
148
- Nitrous oxide,
46
- with air,
54
- with ether,
138
- with ethyl chloride,
128
- nasal,
57
- physiology of,
46
- contra-indications to,
56
- Nitrous oxide and oxygen,
8,
12,
60
- various systems for,
66,
70,
130
- for use in major surgery,
72
- with ethyl chloride,
131
O
- Obesity,
158,
165
- Obstruction, intestinal,
141
- respiratory,
15,
141
- Oil ether, Gwathmey’s method of,
93
- Oligæmia in shock,
10
- Omnopon,
44
- Open method, definition of,
28
- chloroform,
117
- ether,
83
- ethyl chloride,
123
- O’Malley’s technique for intra-nasal surgery,
160
- Ormsby’s inhaler,
81,
137
- Over-dosage,
36,
110,
144
- with nitrous oxide,
54
- Oxygen, reduction in blood in anæsthesia,
206
- as a relief in asphyxia,
27
- to old patients,
165
- with nitrous oxide (see Nitrous Oxide and Oxygen)
- with nitrous oxide and ethyl chloride,
130
P
- Paralysis, musculo-spiral,
157
- Patella reflex in anæsthesia,
3
- Percentages of chloroform and ether required in anæsthesia,
6
- of chloroform,
111
- of ether,
86,
99,
201,
204
- Perhalation method, definition of,
28
- ether (see open Ether)
- Phenomena of anæsthesia
- normal,
33
- abnormal,
38
- of nitrous oxide,
52
- of ethyl chloride,
125
- Pericarditis as a cause of death in anæsthesia,
168
- Phillip’s artificial airway,
23,
160
- Physics of natural respiration,
96
- Physiology of anæsthetic drugs,
1
- of asphyxia,
17
- of chloroform,
109
- of ether,
75
- of ethyl chloride,
122
- of nitrous oxide,
46
- Phthisis,
167
- Pneumonia, post anæsthetic,
157
- Position in anæsthesia,
157
- Positive pressure in nitrous oxide,
52
- in nitrous oxide and oxygen,
66
- Post-chloroform poisoning,
153
- Post anæsthetic complications,
150
- Pregnancy, anæsthesia in,
169
- Preliminary hypodermic medication,
11,
43,
152
- Preparation of patient,
42
- Primary syncope,
110,
143
- Protection from shock by general anæsthetics,
8
- Pulse, rate in shock,
6
- clinical observation of,
37
- Pupil, light reflex of,
32
- size of,
35
- in asphyxia,
17
- Purging before anæsthetics,
40
Q
- Quinine and urea hydrochloride,
174
R
- Rebreathing method,
18
- in nitrous oxide,
68
- Rectal administration of ether,
93
- Rectal saline,
42
- Reflexes as a cause of shock,
4,
6
- order of disappearance of,
3
- Reflex, conjunctival,
31,
35
- corneal,
32,
35
- light,
32,
35
- patella,
3
- skin,
37
- Reflex syncope,
8,
112,
145
- Regional anæsthesia,
179
- Renal disease,
163
- Rendle’s cone,
135
- Repeated administrations,
60,
156
- Respiration, arrest of,
142
- artificial,
146
- blowing,
34,
89
- crowing,
16
- depressed,
39,
43
- effect of morphia and chloroform upon,
43,
86
- normal,
34
- obstructed,
15,
141,
166
- Respiration, physics of natural,
96
- reflex arrest of,
39
- Respiratory abnormalities, minor,
39
- major,
141
- Respiratory system, effects of ether upon,
76
- after-effects of anæsthetics upon,
150
- Rigidity of muscles in asphyxia,
19,
38,
39
- in second stage,
33