Irritability : $b a physiological analysis of the general effect of stimuli in living substanceVerworn, Max
Science
Irritability : $b a physiological analysis of the general effect of stimuli in living substance
Verworn, Max
Irritability
In both cases recovery could only be brought about by an introduction
of oxygen. From the sum of all these experiments it results that
during narcosis in air the nerve, even when a sufficiency of oxygen is
present, gradually asphyxiates and loses its capability of conduction,
and this in about the same length of time as the other nerve in pure
nitrogen. These investigations furnish two important facts for the
theory of narcosis. First, that in narcosis living substance becomes
asphyxiated notwithstanding the presence of an ample oxygen supply,
and secondly, that asphyxiation occurs in the same time, or somewhat
more rapidly, in pure nitrogen under otherwise similar conditions
than without narcosis. In other words, it is shown that the breaking
down processes of metabolism continue in narcosis as anoxydative
disintegration. _In narcosis, therefore, asphyxiation takes place with
approximately the same or a somewhat greater rapidity than that in an
oxygen-free medium._
The fact here established explains in the simplest manner the often
described observation that in the human being and in mammals during
prolonged anæsthesia typical products of insufficient combustion,
such as fatty acids, lactic acid and above all aceton, in not
inconsiderable quantities are eliminated, as the case may be, by the
urine or the respiratory air.[216] If, as has been shown by the
foregoing experiments, the processes of disintegration can continue
to anoxydatively take place during narcosis, the problem arises, if
this anoxydative breaking down can be further increased by excitating
stimuli. This question has been answered likewise by means of
experiments on the nerve made by _Heaton_.[217] The two sciatic nerves
of the same frog were drawn through a double glass chamber of the form
previously described so that each nerve lay on an electrode and with
the central stump protruding out of the chamber hanging likewise over
an electrode. As in the former instances the muscle contraction of the
shank again served as indicator. Both nerves were then subjected to
the same current of nitrogen-ether. When, as a result of the narcosis,
their irritability has sunk to the level of “stromschleifen” the
central stump of the one nerve was continuously stimulated with faradic
shocks during a prolonged period, while the other nerve remained at
rest. Finally, by displacement of the current of nitrogen-ether with
one of pure nitrogen, cessation of narcosis was brought about. It was
then seen that the irritability of the continuously stimulated nerve
showed a much greater decrease than that of the nonstimulated. The
control made by introduction of air demonstrated that both nerves
recovered in an oxygen supply. _There can, therefore, be no doubt,
by comparative experiments we find, that during narcosis anoxydative
disintegration can be still further increased by the action of stimuli._
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