Handbook of anæstheticsRoss, J. Stuart (John Stuart)
Science
Handbook of anæsthetics
Ross, J. Stuart (John Stuart)
Anesthesia; Anesthetics
_Ether vapour_ is heavy--two and a half times heavier than air. It
therefore tends in a room to flow towards the floor, and to remain
for some time unmixed with the general atmosphere. Since it is highly
explosive, this constitutes a definite danger if any naked light or
open fire is present. Everyone who handles ether should bear in mind
these physical peculiarities of its vapour.
Ether is affected by prolonged exposure to bright sunlight, and also by
prolonged bubbling through it of air, nitrous oxide, or oxygen. Ether
which has been subjected to any of these measures should be inspected
before being put back into reserve, and if any brown discoloration
is noticed, it should either be sent to the hospital laboratory for
redistillation, or presented to the theatre sister for use as a
cleaning agent. Such contributions are always gratefully received.
Most of the ordinary impurities of ether are acid in reaction, while
ether itself is absolutely neutral. Any specimen which turns litmus
paper red should be sent to the laboratory for examination.
Sources of Supply.
Ethylic alcohol may be prepared either from ethyl alcohol or from
methylated spirits. In the former case it carries, however, the cost
of the duty imposed upon potable spirit, and since perfectly good
anæsthetic ether can be prepared from the latter source, it is waste of
money to use the more expensive article.
Physiology.
Ether acts upon the nervous system like other anæsthetics: as compared
with chloroform, however, the stage of excitation of each centre
before its paralysis is apt to be marked. There is, therefore, in some
subjects, a greater tendency to struggle; healthy subjects properly
handled do not show much evidence of irritation of the cerebrum. All,
however, show some evidence of stimulation of the respiratory centre,
which is not prolonged. _Prolonged deep and rapid respiration under
ether is due to other causes than the action of the drug itself._ It
is of course seen in “closed ether,” but the active agent is excess of
CO_{2}, not ether.
The working margin of safety in ether, _i.e._ the stage between loss of
spinal reflexes and the poisoning of respiratory centre is much wider
than in chloroform.
Some experiments of Waller made many years ago showed that upon nerve
tissue, ether acts much less powerfully than chloroform: in the
proportion, he found, of one to seven or eight. These laboratory
results have received entire confirmation by later workers who have
estimated the actual vapour strength required of either drug to produce
or maintain anæsthesia. Roughly, to induce anæsthesia, we require 2 per
cent. chloroform, or 16 to 18 per cent. of ether (_see_ Appendix II.).
The Circulation.
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