The Origin and Nature of the Emotions; Miscellaneous PapersCrile, George Washington
Science
The Origin and Nature of the Emotions; Miscellaneous Papers
Crile, George Washington
Emotions; Psychophysiology
These observations lead naturally to the question, May not
acidity of itself be the actual final cause of death?
We believe that it may be so from the facts that--(1)
The intravenous injection of certain acids causes death quickly,
but that convulsions do not occur, since the voluntary muscles
lose their power of contraction; and (2) the intravenous injection
of acids causes extensive histologic changes in the brain,
the adrenals, and the liver which resemble the changes invariably
caused by activation of the kinetic system (Figs. 74 and 75). In view
of these facts may we not find that anesthesia and many instances
of unconsciousness are merely phenomena of acidity?
As has been stated already, we have found that the H-ion concentration
of the blood--its acidity--is increased by alcohol, by ether,
and by nitrous oxid. In addition our tests have shown that under
ether the increase of the H-ion concentration--acidity--is more
gradual than under nitrous oxid, an observation which accords well
with the fact that nitrous oxid more quickly induces anesthesia
than does ether.
Further striking testimony in favor of the hypothesis that
the production of acidity by inhalation anesthetics is the method
by which anesthesia itself is produced is found in the fact
that although lethal doses of acid cause muscular paralysis,
yet this paralysis may be mitigated by adrenalin--which is alkaline.
This observation may explain in part the remarkable success of
the method of resuscitation devised by me, in which animals "killed"
by anesthetics and asphyxia are revived by the use of adrenalin.
In animals under inhalation anesthesia Williams found that no
nerve-current could be detected by the Einthoven string galvanometer,
a fact which might be explained by postulating that nerve-currents
can flow from the brain to the muscles and glands only when there
is a difference of potential. Any variation from the normal
alkalinity of the body must change the difference in potential.
Since the nerve-currents in animals under anesthesia are not demonstrable
by any apparatus at our command, and since anesthesia produces acidity,
then we may infer that acidity reduces the difference in potential.
As long as there is life, a galvanometer of sufficient delicacy
would perforce detect, a nerve-current until the acidity increased
to such a point as to reduce the difference in potential to zero--
the point of death. If at this point a suitable alkali--
adrenalin solution--can be introduced quickly enough, the vital difference
in potential may be restored and the life processes will be renewed.
Bearing especially on this point is the fact that if adrenalin
in sufficient quantities be administered simultaneously with an acid,
it will not only prevent the fall in blood-pressure usually
caused by the acid, but will also prevent the histologic changes
in the brain, adrenals, and liver which are usually caused by
the intravenous injection of acids.
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