Collected Papers by Members of the Gynecological Department of the Johns Hopkins Hospital and University, 1916- Volume 1

Collected Papers by Members of the Gynecological Department of the Johns Hopkins Hospital and University, 1916- Volume 1

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1922 edition. Excerpt: ...Pelvic Viscera, Together With Some Other Considerations By Karl H. Martzloff, M. D. (From the Department of Gynecology, Johns Hopkins Hospital and University) For a number of years prior to September, 1922, it had 370 been the custom on the Gynecological Service of the Johns Hopkins Hospital to use routinely a combination of eserin and strychnin on patients who had been subjected to abdominal operations. The object of this procedure was to lessen or, if possible, to prevent entirely the not uncommon and very uncomfortable post-operative complication, abdominal distention. With this purpose in mind such patients were given, hypodermically, onehundredth of a grain of eserin salicylate and one-fortieth of a grain of strychnin sulphate immediately on their return to the ward and every four hours thereafter for eight doses. On inquiry as to the value of this routine procedure it appeared to be the general impression that the incidence of post-operative tympanites was markedly lessened or its course attenuated by the use of these drugs as compared with the periods before their adop specific information based on the observation of a series of controlled cases in regard to the influence actually exerted by these drugs in lessening post-operative distention. This form of post-operative prophylaxis is recommended in some of the standard textbooks of surgery,1'2'3'4 bearing on the treatment of post-operative complications, and in some of the many clinical articles B'8'7 devoted to this important subject. The use of eserin seems to be correct in its conception, for one of its pharmacological properties is the stimulation of intestinal peristalsis.8-9 The employment of strychnin is probably based upon its action in increasing the reflex activity of the spinal...
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Product details

  • Paperback | 366 pages
  • 189 x 246 x 19mm | 653g
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236590686
  • 9781236590688