North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826Various
History
North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826
Various
Medicine -- Periodicals
33. _Artificial Respiration._--Dr. J. WARE of Boston, relates in the New
England Jour. for April last, that he was led by the experiments of the
justly celebrated physiologist Mr. BRODIE, to employ artificial
respiration in the case of an infant 9 weeks old, whose system was
prostrated from an over dose of laudanum. "The action of the heart was
reduced to an occasional throb; the pulse had entirely ceased, and the
efforts at respiration, which for some time had consisted merely in an
occasional gasp, became more and more unfrequent." The child had been
afflicted for five or six weeks with hooping-cough, and had been very
sick and feeble when the laudanum (about 15 drops) was administered.
By means of the stem of a tobacco-pipe, artificial respiration was
excited, and continued for several minutes: the action of the heart was
immediately renewed, and the pulse could be again felt. At the end of an
hour, during which the artificial respiration was repeated at intervals;
"the respiration became natural, the pulse distinct and tolerably
strong, and the heat began to return." A fit of coughing, preceded by a
livid appearance of the forehead and face, arrested the breathing,
"which did not return till assisted by the artificial process." The
child, assisted by these measures, and by attention to the more usual
means of recovery, struggled through the night, but died during a
paroxysm of coughing in the morning.
The conclusions of Mr. BRODIE are, that narcotics destroy life through
the organs of respiration, and hence, if respiration can be artificially
carried on until the effects of the narcotic subside, life may be
preserved. Dr. WARE'S case would seem to confirm this idea; for it is
_probable_ his patient would have recovered from the effects of the
narcotic, if the paroxysms of coughing had not interfered.
34. _Secale Cornutum._--Mr. CHARLES WALLER has lately published (London
Medical and Physical Journal, April 1826,) several cases illustrative of
the action and efficacy of secale cornutum. We have not room for any of
the cases, and content ourselves with transcribing Mr. W.'s inferences.
These are: "That the secale cornutum is a remedy which is capable of
increasing the force of the uterine contractions in a most remarkable
manner, under certain circumstances; but that the effect is doubtful,
unless there be some degree of action present. In other words, that,
although it will increase the contractions when already present, it will
not always renew them when they are suspended.
"That the effect is more certain if the infusion be of greater strength
than is usually recommended; two drachms of the secale to six ounces of
water being barely sufficient for the purpose.
"That it appears to be a stimulus peculiarly fitted for irritable, and
what are generally termed _nervous_ habits.
"That the fears entertained by some practitioners of its proving
detrimental to the child, are groundless.
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