Transactions of the American Surgical Association Volume 24

Transactions of the American Surgical Association Volume 24

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1906 edition. Excerpt: ...grains of chloral and 450 grains of bromide, without effect upon the convulsions. Both injections of magnesium sulphate were given under general anesthesia. Fifty cubic centimeters of antitetanic serum were given at the same time with the first injection. The duration of the first anaesthesia was forty minutes, of the second thirty-five. Possibly the large doses of chloral may have depressed the heart's action and that, together with the ether, may have caused the bronchorrhea. It is not necessary to give an anaesthetic to perform lumbar puncture, and one of the advantages of magnesium sulphate is that it produces sufficient anesthesia for redressment of the wound. The dose of magnesium sulphate was large, one cubic centimeter of the 25 per cent. solution for every twenty pounds at the first dose, and one cubic centimeter for every twenty-four pounds' body weight at the second dose. Possibly its action may have been cumulative, inasmuch as the dose was repeated in twentyfour hours. The action of the second dose was certainly very profound. In the second case reported by Dr. Logan there was absolutely no result from the use of magnesium sulphate. The patient was a woman twenty-four years of age, and received a dosage corresponding to one cubic centimeter for every twenty-live pounds' body weight. The first injection producing no result, it was followed seventeen hours later by another, the patient dying of failure of respiration in a tetanic seizure a short time afterward. Although this last was a severe case there should have been some result and the failure of the magnesium sulphate is apparently another instance of the unreliability that has been demonstrated in its use for producing anaesthesia. In the case of general more

Product details

  • Paperback | 200 pages
  • 189 x 246 x 11mm | 367g
  • United States
  • English
  • black & white illustrations
  • 123694240X
  • 9781236942401