The essentials of bandaging: $b including the management of fractures and dislocations, with directions for using other surgical apparatusHill, Berkeley
Science
The essentials of bandaging: $b including the management of fractures and dislocations, with directions for using other surgical apparatus
Hill, Berkeley
Bandages and bandaging; Dislocations -- Treatment; Fractures -- Treatment; Surgery, Minor
As subordinate adjuvants for faintness the following are
useful:—moistening the tongue and lips with brandy from time to time,
or letting the patient sip a small quantity from the spout of a
feeding cup. In complete syncope, galvanism to the epigastrium, a hot
iron or scalding water to the præcordia may be employed, but _should
never interfere with the maintenance of artificial respiration, which
is of far greater efficacy in restoring suspended animation than
anything else_.
Chloroform is safely given on a handkerchief, or in various ways, if
the administrator is careful to watch the pulse and respiration, and
to guard against the patient, by a sudden deep inspiration, taking
too large a dose of vapour at once. Exact measurement of the quantity
of liquid poured on the handkerchief at a time is of no value, as
it is no index of the concentration of the air respired by the
patient. Of far greater consequence is it to insure a free supply of
atmospheric air, by keeping the evaporating surface a few inches from
the mouth and nostrils.
[Illustration: Fig. 116.—Clover’s apparatus for administering
chloroform.]
The safest mode of giving chloroform is by _Clover’s Inhaler_ (fig.
116), now used in many London hospitals and elsewhere. It renders it
impossible to give the patient too strong a dose, by preparing an
atmosphere of known strength for him to breathe. Clover’s apparatus
consists of a bag of 8,000 or 10,000 cubic inches capacity, suspended
by a loop behind the chloroformist’s back, from this a flexible tube
brings the vaporised air to a mask, fitting over the nose and mouth
of the patient. This mask has a flexible metal border for adjusting
it to different faces; and a valve that opens and closes, to allow
more or less common air to be respired with that drawn from the
reservoir if desired.
The reservoir is supplied by injecting into it, from a bellows, 1,000
cubic inches of air, drawn through an evaporating box heated by
hot water, into which 32½ minims of chloroform are injected from a
graduated syringe each time the bellows are filled. By these means,
an atmosphere of known strength is prepared for the inhalation; that
is one containing about 4° of vapour. This apparatus is very easy
to use, and the most efficient in producing anæsthesia quickly and
pleasantly.
=Artificial Respiration.=—Many plans are employed; but the two most
efficient are those to be described.
[Illustration: Fig. 117.—Artificial Respiration. Marshall Hall’s
method. 1st position.]
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