File:A text-book of practical therapeutics (1922) (14780542395).jpg

Identifier: textbookofp00hare (find matches)
Title: A text-book of practical therapeutics
Year: 1922 (1920s)
Authors: Hare, H. A. (Hobart Amory), 1862-1931
Subjects: Therapeutics
Publisher: Philadelphia and New York, Lea & Febiger
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
ly to the phrenic fibers,and respond so readily to electrical stimulation, that it is difficult to imagine how theycan escape stimulation if a current be used of sufficient strength to excite the phrenicnerves near by. By practical experiment the writer has proved that inhibition ofthe heart may not only be possibly brought about by this method, but also that it isnearly impossible to avoid such an effect if the phrenics are to be reached. CHLOROFORM 215 that the blood will flow to the brain, as Leonard Hill and the authorhave shown that the chief cause of death is vasomotor relaxation withaccumulation of the blood in the abdominal vessels. Bandagesshould be applied to the limbs and compression, by means of a bandageand large compress, be exercised on the abdominal contents, and activeartificial respiration practised for a long period of time as the mostimportant measures for the patients relief. External heat shouldbe applied. Atropine, strychnine, caffeine, and digitalis may be used
Text Appearing After Image:
Fig. 34.—Showing the inversion of the patient as adopted by Kelly, and the methodof performing artificial respiration simultaneously. The chest is expanded by drawingits lower segment toward the operator. to stimulate the heart and respiration. Of these, strychnine is themost valuable. (See directions under the article on Ether.) Adrenalinchloride is contraindicated in that it increases the danger of ventricularfibrillation particularly if the anesthesia is light. (See SuprarenalGland.) In addition to the movements of artificial respiration, the tip of thetongue may be grasped by a pair of forceps and drawn out of themouth and upward from ten to fourteen times a minute, in order to 216 DRUGS stimulate the diaphragm. (See Asphyxia, Part IV, for detaileddirections.) In a number of cases patients apparently dead fromchloroform have been resuscitated by repeated massage of the pre-cordium, and even by incising the abdominal wall and massaging theheart through the diaphragm. The measures

Note About Images