How to Use a Galvanic Battery in Medicine and Surgery: A Discourse Delivered Before the Hunterian Society, Third EditionTibbits, Herbert
Science
How to Use a Galvanic Battery in Medicine and Surgery: A Discourse Delivered Before the Hunterian Society, Third Edition
Tibbits, Herbert
Electrotherapeutics
[8] _The Galvanometer as an aid to the Dosage of Electricity._--The
dose of voltaic electricity is made up of two factors, (_a_) the
strength of the current and (_b_), the time during which it is applied
to the patient. [SN: The Galvanometer as an aid to the Dosage of
Electricity.] The strength of the current is directly dependent upon
the number of cells employed, but, unfortunately, cells of dissimilar
construction evolve currents of very unequal strength; while cells
that have been freshly charged are more powerful than similar ones
that have been partly exhausted by use; and, therefore, to speak of
a current from “so many cells,” though, practically, a convenient
method of dosage, fails to convey any _exact_ idea of a measured and
unvarying quantity. It is a comforting theory to electro-therapeutists
that a galvanometer will enable them to administer their doses of
electricity with as much exactitude as we daily prescribe so many
grains, or so many minims of ordinary medicines; but, like some other
theories which save us much trouble, when adopted as theories _only_,
it fails us in practice (at least according to my experience), and
chiefly so, because a galvanometer can be usefully employed only when
it is included in the circuit of a continuous current, as, _e.g._,
in aneurismal electro-puncture; and, I believe, I am within the
mark in saying that electrizations, which even admit of its useful
employment, are indicated in barely 5 per cent. of ordinary cases in
electro-therapeutics; and that it is of no practical utility, where
we most want aid, in measuring, not the current which leaves the
battery terminals, but that which, after overcoming the very variable
resistance of the human skin, really reaches the underlying muscular
and nervous tissues, which, in 95 per cent. of our cases, we desire to
influence, not by a constant, but by an interrupted Voltaic current;
and the amount which really reaches these tissues depends largely upon
the condition of the patient’s skin, and, I may also add, upon the
kind and shape of the conductor, and its degree of moisture, &c.; and
the operator will do well to graduate his dose of electricity by a
consideration only of the three factors, number of cells, effect upon
himself, and effect upon his patient, discarding entirely the use of
any merely mechanical aids to graduation.
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