Excerpt from Buffalo Medical Journal, Vol. 60: August, 1904, to July, 1905
This is principally one of prophylaxis, and its aim is to pre pare the patient in such a manner that she will enter the operat ing theater in the best mental and physical condition possible. The question of shock here is one which needs very careful consideration.
Though not attempting to discuss the pathology of shock, one may say that the condition is due to a state of exhaustion of the medulla and the spinal cord, leading to a great reduction of vital activity and resulting from severe irritation of the peripheral ends of the sensory and sympathetic nerves. In this condition the face is pale and drawn; the pulse is frequent, weak and dicrotic. The pupils are dilated; the reﬂexes are diminished; the respirations are feeble, irregular and sighing; the temperature is subnormal.
The condition may be much lessened by prophylactic treat ment. It is well for the patient to be in the hospital for at least three or four days, even for a week if possible, before the Opera tion, so that she may become accustomed to her surroundings and undergo a careful and systematic preparation.
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