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
[216] For the very extensive literature on this subject see
_Reicher_: “Chemischexperimentelle Studien zur Kenntniss der
Narkose.” Zeitschr. f. klinische Medicin Bd. 65, 1908.
[217] _Heaton_: l. c.
In view of this knowledge of the influence of narcotics on oxygen
exchange it may be considered as a firmly established fact, that
a process of depression is developed during narcosis, which can
be classified with the large group of depressions, resulting from
deficiency of oxygen. This is followed by the important problem, is it
possible to attribute the whole series of alterations, produced by the
narcotic, solely to this _one_ factor? In other words, is narcosis the
result of acute suppression of the oxydative processes?
If the individual symptoms which characterize narcosis are investigated
from this point of view, one must indeed confess that they are all
readily understood when regarded as the results of suppression of
the oxydative processes. Indeed, the disappearance of the perceptible
vital activities, the decrease of irritability, the restriction of the
conduction of excitation, the continuance of an anoxydative breaking
down, the recovery on cessation of narcosis, provided oxygen is
present, etc., in short, all the characteristics of narcosis so far
known must be expected and _demanded_ if a suppression of the oxydative
processes exists during narcosis.
There is only _one_ point which at the first glance would not seem to
agree entirely with the assumption. This is the fact that depression
sets in with a relatively greater rapidity in narcosis than when the
supply of oxygen is completely withdrawn. Depression of the centers
in the spinal cord, which begins in about five to ten minutes after
artificial circulation of an oxygen-free, alcohol-containing, saline
solution, is not brought about for more than an hour when the same
saline solution but without alcohol is introduced. This difference
is still more strikingly apparent in the nerve. The same degree of
depression, which is produced in the nerve in a nitrogen-ether mixture
within about _five_ minutes, is not reached in pure nitrogen without
ether until after the lapse of from _two_ to _four_ hours. In order
to investigate this relation somewhat more closely I have questioned
if it is possible for a living system, which has been narcotized to a
certain extent, to regain its irritability in a completely oxygen-free
medium, if cessation of the narcosis takes place after a period
essentially shorter than the time of asphyxiation of the system under
equal conditions. If the depression of narcosis is founded exclusively
on asphyxiation, it would be expected that no recovery could occur.
Experiments which I have made on the spinal cord centers as well as
on the peripheral nerves have, however, demonstrated exactly the
contrary. If a frog is subjected to an artificial circulation of an
oxygen-free saline solution containing 5 per cent. of alcohol until
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