Handbook of anæstheticsRoss, J. Stuart (John Stuart)
Science
Handbook of anæsthetics
Ross, J. Stuart (John Stuart)
Anesthesia; Anesthetics
In these results, air and ether vapour were drawn by a pump through
the material to imitate the inspiration, but no attempt seems to have
been made to imitate expiration. The effect upon the material used of
moisture condensed from the expired air is not taken into account
in these experiments. This is a serious hiatus in the argument,
particularly as regards lint. This material in actual use rapidly
becomes quite sodden, and ether will not vaporise from it properly.
In spite of this fault, these observations may probably be taken as
being reasonably accurate.
With them may be compared the figures of Karl Connell, who, working
with quite accurate methods, estimated the percentages of ether
necessary to induce and maintain anæsthesia:--
Period of Anæsthesia. Percentage.
First 5 minutes (_i.e._ induction) 18
Next 25 „ 14
Next 30 „ 12
Next 60 „ 12·8
“Bad” subjects on the average required an extra 4 per cent. during
first half hour, feeble patients required 2 per cent. less.
(_Journal_ of the American Medical Association, 22nd March 1913).
APPENDIX III.
THE ACTION OF ANÆSTHETICS UPON THE BLOOD.
_The Blood Gases in Anæsthesia._
Buckmaster and Gardner (_Journal of Physiology_, vol. xli., p. 246),
analysed the blood gases in various stages of chloroform anæsthesia,
and some of their results are shown below in tabular form. They show a
very definite reduction in the oxygen content of the blood. So far as
one gathers from the text of the paper, the animals were not subjected
to any considerable trauma during the progress of the anæsthesia, so
that the figures arrived at with regard to the CO_{2} content do not
bear upon the Acapnia question. If there was no trauma, there would be
no deep breathing, and a reduction of CO_{2} could not be expected.
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