The Archives of Dentistry, Vol. VII, No. 4, April 1890Various
Science
The Archives of Dentistry, Vol. VII, No. 4, April 1890
Various
Dentistry -- Periodicals
The apparatus for administering ether is very simple, consisting in a
towel or newspaper folded in cone form, with a moistened sponge at the
apex to receive the fluid. During the first part of inhalation it is
well to hold the cone a little distance from the patient's face, that
the first few inhalations may be mixed with atmospheric air, otherwise
an oppressed, smothered feeling may possess the patient. This feeling
happily passes away in a few minutes, and the cone may be held close to
the face, bringing the patient under its influence as soon as possible;
better results are obtained, the after-effects pass away sooner, and
there is less danger of nausea than when administered slowly, taking a
long time to bring the patient under its influence.
It is well to observe that the temperature of the room be warm and well
ventilated, avoiding all draughts. The patient should be in a recumbent
position—better perfectly horizontal, all tight garments around the
waist and throat should be loosened, allowing perfect freedom to the
organs of respiration. With a finger on the pulse, an ear to the
breathing and an eye to the patient, the operator is to judge when
anæsthesia is complete.
The physiological action produced can be summed in a few words.
Observation shows that the functions of the cerebrum are affected
first; next, the anterior or motor centers soon fail to respond to
mechanical irritation, yet the functions of the medulla-oblongata (the
center of respiration) are performed. This is the proper stage to
appreciate, for, if the inhalation be still further carried on, the
sensory and finally the motor functions of the medulla-oblongata are
involved, and death ensues from paralysis of the respiratory centers.
In conclusion, I must not fail to observe that ether has a peculiar
and exciting effect on the genital organs, and a prudent operator will
not fail to have a third party present throughout all the period of
anæsthesia, otherwise his honor and reputation might be forever blasted
by the emphatic assertions of some female laboring under the unhappy
delusion of having been injured beyond reparation.
DISCUSSION OF DR. STODDARD'S PAPER: PORCELAIN FILLINGS.[4]
PRESIDENT BRIGGS:—Gentlemen, I think we all are paying more attention
to porcelain fillings than we formerly did. Since 1883 I have referred
to them in my lectures as one of the methods of preserving the teeth,
and have used them in my practice. One point particularly interesting
to me is the method Dr. Stoddard uses, of packing the clay into the
plaster impression, biscuiting it, then removing the surrounding
plaster and finishing the fusing. I presume it is because the carver I
have employed does not do this that he fails to give me good results
from irregular impressions. I imagine he tries to take them out while
they are in the clay, and of course, cannot, if the shapes are peculiar.
Public-domain text, read in full here on John Shaqi.
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