HANDBOOK OF ANÆSTHETICS BY J. STUART ROSS, M.B., CH.B., F.R.C.S.E. LECTURER IN PRACTICAL ANÆSTHETICS, UNIVERSITY OF EDINBURGH; HONORARY ANÆSTHETIST EDINBURGH DENTAL SCHOOL; ANÆSTHETIST, DEACONESS HOSPITAL; INSTRUCTOR IN ANÆSTHETICS, EDIN. ROYAL INFIRMARY With an Introduction BY HY. ALEXIS THOMSON, C.M.G., M.D., F.R.C.S.E. PROFESSOR OF SURGERY, UNIVERSITY OF EDINBURGH AND CHAPTERS UPON Local and Spinal Anæsthesia BY WM. QUARRY WOOD, M.D., F.R.C.S.E. LATELY TEMPORARY ASSISTANT SURGEON, EDINBURGH ROYAL INFIRMARY AND UPON Intratracheal Anæsthesia BY H. TORRANCE THOMSON, M.D., F.R.C.S.E. ANÆSTHETIST TO THE LEITH HOSPITAL EDINBURGH E. & S. LIVINGSTONE, 17 TEVIOT PLACE 1919 CONTENTS CHAP. PAGE INTRODUCTION BY PROFESSOR ALEXIS THOMSON ix PREFACE xi I. PHYSIOLOGICAL ACTION OF ANÆSTHETIC DRUGS 1 II. SHOCK AND ANÆSTHESIA 5 III. ASPHYXIA OR ANOXÆMIA 15 IV. METHODS OF ANÆSTHETISING 28 V. THE CLINICAL OBSERVATION OF THE PATIENT 31 VI. THE PREPARATION OF THE PATIENT 42 VII. NITROUS OXIDE 46 VIII. NITROUS OXIDE AND OXYGEN 60 IX. ETHER 74 X. INTRATRACHEAL ETHER 96 XI. CHLOROFORM 109 XII. ETHYL CHLORIDE 122 XIII. MIXTURES OF NITROUS OXIDE AND ETHYL CHLORIDE 128 XIV. MIXTURES OF CHLOROFORM AND ETHER 134 XV. SEQUENCES 137 XVI. THE ACCIDENTS OF ANÆSTHESIA 140 XVII. THE SEQUELÆ OF ANÆSTHESIA 151 XVIII. POSTURE OF THE PATIENT 157 XIX. THE CHOICE OF THE ANÆSTHETIC 162 XX. LOCAL ANÆSTHESIA 171 XXI. SPINAL ANÆSTHESIA 193 APPENDIX 201