Oxygen treatment rests on the fact that by raising the pressure of the
oxygen from 113 mm., as it is generally in ordinary air, to 675 mm.,
which is reached in presence of pure oxygen, the quantity of oxygen
absorbed in the blood rises from 0·3 to 1·8 per 100 c.c. Further,
the saturation of the hæmoglobin, the colouring matter of the blood,
undergoes an increase of 2·4 per cent. This increase of oxygen in the
blood can save life in cases where through poisoning a deficiency of
oxygen has resulted.
The introduction of oxygen is done by special apparatus which acts
essentially on the principle that during inhalation oxygen is pressed
into the lungs which are below normal physiological pressure, while
exhalation is effected by a deflating arrangement when the poisoned
individual no longer breathes of his own accord. When natural breathing
begins, the introduction of oxygen without special apparatus generally
suffices.
[Illustration: FIG. 30.—Dräger’s Oxygen Box
I Oxygen cylinder; A Valve on cylinder; B Manometer; C Key for opening
and closing the flow of oxygen; F Economiser; H Facepiece.]
Dräger’s _oxygen apparatus_ (fig. 30) consists of a small oxygen cylinder
provided with a closing valve, a small manometer, a so-called ‘automatic’
reducing valve with an arrangement for opening and closing the oxygen
supply, a bag to act as a receiver or economiser, a breathing mask, and
a metal tube connecting the breathing mask with the other parts of the
apparatus. The oxygen cylinder, when filled, contains about 180 litres of
oxygen, and the manometer allows the manipulator to control at any time
whatever oxygen it still contains. The automatic arrangement not only
reduces the pressure but at the same time controls the supply of oxygen.
This dose is fixed at three litres of oxygen per minute, so that the
apparatus with the same oxygen cylinder will last for sixty minutes. The
oxygen is not inhaled pure, but is mixed with atmospheric air according
to need, and in order to make this possible the breathing mask is
provided with a small hole through which atmospheric air finds entrance.
[Illustration: FIG. 31.—Oxygen Inhaling Apparatus]
[Illustration: FIG. 32.—Showing apparatus in use (_Siebe, Gorman & Co._)]
As the oxygen flows continuously from the cylinder waste during
exhalation is prevented by the economiser, in which, during exhalation,
the inflowing oxygen accumulates, to be absorbed again in inhalation. A
small relief valve in the screw head of the bag prevents the entrance
into it of exhaled air.
[Illustration: FIG. 33.—Dräger’s Pulmotor (_R. Jacobson_)]
Another oxygen inhaling apparatus for resuscitating purposes, that of
Siebe, Gorman & Co., is illustrated in figs. 31 and 32.
Dräger also constructs an apparatus called the ‘Pulmotor’ which
simultaneously accomplishes the introduction of oxygen and artificial
respiration.
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