The principles and practice of modern surgeryPark, Roswell
Science
The principles and practice of modern surgery
Park, Roswell
Surgery
is removed from the fluid and confined in harmless form within the
brain-tissue cells.
In injecting the antitoxin into the spinal canal no harm will ensue if
a little blood flow through the needle, showing that the cord itself
has been touched.
When there is need to employ this material the brain of a freshly
killed small animal should be removed under antiseptic precautions.
10 Gm. or 15 Gm. should be emulsified in about 30 Cc. of sterile salt
solution, which should then be strained through a sterile cloth under
light pressure. This is then injected as near the wound as possible
and the procedure repeated every day as long as indicated. This method
can only be expected to neutralize toxin that has not yet entered the
nerve cells. Nevertheless, Russian observers have reported thirteen
recoveries out of sixteen instances in which the method was practised.
When no other means are at hand a 1 per cent. carbolic acid solution
may be injected after the same fashion, using such an amount that about
five grains are administered during twenty-four hours to an adult. This
is the method especially favored by the Italians, and is due especially
to Baccelli.
Matthews has devised a method which seems quite effective in
experimental animals. It consists of the use of a solution of the
following: Sodium chloride 4 Gm., sodium sulphate 10 Gm., sodium
nitrate 3 Gm., calcium chloride 14 Cgm., water 1000 Cc. This is
intended for intravenous injection, and must be introduced very slowly.
The performance should be repeated twice during the first twenty-four
hours and once each succeeding twenty-four hours. It produces profound
diuresis, _i. e._, a washing out of tissue cells, as he calls it.
HYDROPHOBIA.
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