Annual of the Universal Medical Sciences and Analytical Index: A Yearly Report of the Progress of the General Sanitary Sciences Throughout the World. [1888-1896.] ...

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F.A. Davis Company, 1891
 

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Page 4 - In 130 cases the antihydrophobic treatment was applied, hydrophobia having been demonstrated by veterinary examination of the animals which inflicted bites or by the- inoculation in the laboratory, and in many cases by the death of some other persons or animals bitten by the same dogs.
Page 4 - To insure absolute freedom of respiration, tight clothing of every kind, either on the neck, chest, or abdomen, is to be strictly avoided ; and no assistants or bystanders should be allowed to exert pressure on any part of the patient's thorax or abdomen, even though the patient be struggling violently. If struggling does occur, it is always possible to hold the patient down by pressure on the shoulders, pelvis, or legs, without doing anything which can by any possibility interfere with the free...
Page 6 - If the breathing becomes embarrassed, the lower jaw should be pulled, or pushed from behind the angles, forward, so that the lower teeth protrude in front of the upper. This raises the epiglottis and frees the larynx. At the same time it is well to assist the respiration artificially until the embarrassment passes off.
Page 5 - The anaesthetic should never under any circumstances be pushed till the respiration stops ; but when once the cornea is insensitive, the patient should be kept gently under by occasional inhalations, and not be allowed to come out and renew the stage of struggling and resistance.
Page 6 - If possible, the patient's chest and abdomen should be exposed during chloroform inhalation, so that the respiratory movements can be seen by the administrator. If anything interferes with the respiration in any way, however slightly, even if this occurs at the very commencement of the administration, if breath is held, or if there is stertor, the inhalation should be stopped until the breathing is natural again. This may sometimes create delay and inconvenience with inexperienced administrators,...
Page 4 - I. The recumbent position on the back and absolute freedom of respiration are essential. II. If during an operation the recumbent po sition on the back cannot, from any cause, be maintained during chloroform administration, the utmost attention to the respiration is necessary to prevent asphyxia or an overdose. If there is any doubt whatever about the state of respiration, the patient...
Page 11 - I would advise that, when the surgeon feels in doubt as to whether it is prudent to make attempts at reduction, or when such attempts do not succeed, he should, in the first place cut down upon the bone by the usual incision, from the coracoid process downward and a little outwards, and then with a curved periosteumdetacher freely separate the soft parts from the inner side of the upper end of the humerus.
Page 5 - In children, crying insures free admission of chloroform into the lungs ; but as struggling and holding the breath can hardly be avoided, and one or two whiffs of chloroform may be sufficient to produce complete insensibility, they should always be allowed to inhale a little fresh air during the first deep inspiration which follows.
Page 28 - Motion of an inflamed joint only interferes with repair, and more certainly hastens the case on to anchylosis and deformity. To prevent this calamity, when it is possible, absolute rest and the relief of intra-articular pressure should be the plan of treatment. Inflamed joints treated upon the plan of absolute immobilization and the relief of intraarticular pressure, furnish by far fewer cases of anchylosis, limited motion, and deformity.
Page 6 - XIV. Alcohol may be given with advantage before operations under chloroform, provided it does not cause excitement, and merely has the effect of giving a patient confidence and steadying the circulation.

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