Nitrous oxide and oxygen anesthesia and analgesia

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University of California Press, 1915 - 74 Seiten

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Seite 8 - The great men of culture are those who have had a passion for diffusing, for making prevail, for carrying from one end of society to the other, the best knowledge, the best ideas of their time...
Seite 10 - As nitrous oxide in its extensive operation appears capable of destroying physical pain, it may probably be used with advantage during surgical operations in which no great effusion of blood takes place.
Seite 9 - Presently she cast a drug into the wine whereof they drank, a drug to lull all pain and anger, and bring forgetfulness of every sorrow. Whoso should drink a draught thereof, when it is mingled in the bowl, on that day he would let no tear fall down his cheeks, not though his mother and his father died, not though men slew his brother or dear son with the sword before his face, and his own eyes beheld it.
Seite 7 - So that, in a great and comprehensive view, the changes in every civilized people are. in their aggregate, dependent solely on three things : first, on the amount of knowledge possessed by their ablest men ; secondly, on the direction which that knowledge takes, that is to say, the sort of subjects to which it refers ; thirdly, and above all, on the extent to which the knowledge is diffused, and the freedom with which it pervades all classes of society.
Seite 15 - Morton took out his pocket handkerchief, saturated it with a preparation of his, from which I breathed for about half a minute, and then was lost in sleep. In an instant more I awoke and saw my tooth lying upon the floor. I did not experience the slightest pain whatever. I remained twenty minutes in his office afterward, and felt no unpleasant effects from the operation.
Seite 18 - Rejoice ! Mesmerism, and its professors, have met with a ' heavy blow, and great discouragement.' An American dentist has used ether, (inhalation of it) to destroy sensation in his operations, and the plan has succeeded in the hands of Warren, Hayward, and others, in Boston.
Seite 22 - ... important principles in the method of the administration of nitrous oxide is its combination with oxygen. The combination of pure nitrous oxide with oxygen, when properly administered, is the safest, the most agreeable, and the freest from post-anaesthetic complications of the g'eneral anaesthetic agents now employed. It is to be regretted, however, that it is the most difficult to administer properly. The reasons for this are as follows : 1. The physical properties of nitrous oxide are such...
Seite 22 - The patient can pass from profound anaesthesia to the conscious state within sixty seconds. The extreme rapidity of induction and elimination renders its administration very difficult. 3. Muscular tone is maintained to a much greater extent than when ether or chloroform is used, it being impossible to obtain the same degree of flaccidity of the musculature that can safely be procured with the more powerful anaesthetic agents.
Seite 29 - ... which represents the amount rebreathed. With this amount of rebreathing there is no danger of carbon dioxide poisoning, nor is there present enough carbon dioxide to lower the tension of nitrous oxide below that necessary to produce surgical anaesthesia.
Seite 70 - On the kinetic theory a new principle of operative surgery is founded. This principle can best be expressed by coining a new word, viz: Anoci-association. An adequate stimulus with or without inhalation anesthesia, whether from trauma or from emotion, causes the brain cells to discharge some of their stored energy, that is to say, the sight of the operating room, the spoken word implying danger, the taking of the anesthetic, the instrumental injury of tissues in the course of the operation, and the...

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