Report of the Anaesthetics Committee. (appointed 1891) July, 1900.

  • British Medical Association. Anaesthetics Committee
Date:
1900?]
Catalogue details

Licence: In copyright

Credit: Report of the Anaesthetics Committee. (appointed 1891) July, 1900. Source: Wellcome Collection.

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    lowered, tongue withdrawn. A.R. for 2 mins. Breathing improved. Pulse feeble and quick throughout. After-effects— slight nausea. AN. PT. 464. —F. 46. Fair. June, 9 a.m. Thyroidectomy. C., on flannel inhaler. 3V- 5° mins. Signs of asphyxiation which quickly passed away, and Pt. recovered consciousness, but no more C. was given after superior and inferior thyroids were tied. There was alarming haemor- rhage from under the clavicle, which could not be stopped until sponges were packed in. She died 12 hours after. AN. PT. 465. —M. 25. Extensive scarring of face from lupus, some mechanical obstruction to breathing. Dec., 2.30 p.m. Plastic O. for nose. C., on Skinner. 3vim 35 mins. C. stopped on account of cessation of R. and cyanosis. Lungs apparently choked with mucus, etc. AN. PT. 466. —F. 13 months. Weak. Sept., 7 p.m. Abscess connected with necrosis of femur opened. C., on covered frame. ^2- 10 mins. Syncopal attack. R. feeble, but did not cease. Oxygen in- haled, speedy recovery. AN. PT. 467. —M. 60. Weak. No signs of heart disease on aus- cultation. June, noon. Suprapubic cystotomy. C., method unstated. 3xii- (Afterwards E.) During O. the heart showed signs of impending failure, the pulse becoming weak and face blanched. The respirations be- came deeper and fewer per min. E. was first administered in equal parts with the C. when these symptoms were noticed ; not much improvement being noticed, a capsule of amyl nitrite was given. Pt. markedly improved. E. given alone on towel till end of O. Rallied well from O. Pt. progressed most satis- factorily for 11 days, and then died from cardiac syncope with scarcely any warning. No post-mortem. AN. PT. 468. —M. Weak. March, 10.30 a.m. Inguinal colotomv for malignant disease of rectum. C., on towel. 5xvi- (Afterwards E.) Anxiety. Required a hypodermic of E. during O., because of excessive pallor and feeble pulse. AN. PT. Cases in Cases in B j3 II, 474. —F. 6. Good. May. 4.30 p.m. Osteotomy. C., on single fold of towel. 15 mins. Breathing shallow, irregular, intermittent, threatened to stop altogether. C. removed, and child got gradually better. 475. —F. 12. Excited. (1st administration.) Jan. Iridectomy. C., 3*- 8 mins. Took anaesthetic badly. Stopped breathing twice. Sick afterwards. 476. —F. 7. Good. Oct. Plastic O. C., on towel. 3iy- 60 mins. Breathing shallow. A.R. improved Pt. 477. —F. 60. Satisfactory. June, 12.45 p.m. Removal of submaxillary tumour. C., on towel. 45 mins. Difficulty with R. at one stage. A.R. required. 469. —M. 70. Unhealthy. (2nd administration.) Feb., noon. Redressing wound. C., on modified Skinner. 3yi- 25 mins. Weak and collapsed. Very pale while under. E. TT^xv hypodermically. AN. PT. 470. —F. 61. Stout, nervous, plethoric, but had lost a con- siderable quantity of blood from bleeding piles. C. given three days before with no dangerous symptoms. March, noon. Removal of piles by clamp and cautery. C., on red flannel nose-piece. 3V>. 15 mins. After O. the face became blue, and cold perspiration was seen on body. Radial pulse almost imperceptible. Pt. was quite conscious and complained of weakness. E. Tl\_xx was given hypodermically, and slightly improved pulse. E. TT^xx hypo- derm. again, given after 10 mins., and with amyl nitrite and hot bottles this produced a satisfactory pulse. Pt.’s pulse on removal to bed became again unsatisfactory, but under treatment of mustard leaf to heart, potash water, and then potash and brandy by mouth, became satisfactory once more. AN. PT. 471. —M. 15.' Strumous, emaciated. May, noon. Excision of knee. C., on towel. 3xii. 40 mins. Pulse failed several times during O. E. was injected hypo- dermically three times. AN. O. PT. 472. —M. 6. Strong. Albumen in urine. June, 9.15 a.m. Excision of hip joint. C., by open method. 30 mins. (Afterwards mixture.) Became pulseless suddenly during administration. A.R., hot sponge over heart, and inversion were at once resorted to with good result. Administration continued with E. and C. AN. O. PT. 473. —F. 45. Rather anaemic. March, 4 p.m. Removal of breast, axillary glands, and pectoral muscles. C., on towel. (Afterwards E.) Some syncope, so changed to E. Matters did not greatly improve until after vomiting had occurred. After-effects—good. AN. O. PT. Class II. Anaesthetic No. 1. 478. —M. Nov. For prostatic calculi. C. Took anaesthetic badly, becoming very livid. Sick after. 479. —M. 4. Oct., noon. For malignant epulis of upper jaw. C., on towel. 3XV>- 20 mins. Pt. became very cyanotic and his breathing very shallow ; was considerable time coming out of C. 480. —M. 49. Weak. April, 11 a.m. Removal of cancer of rectum. C., on lint. 5X- 5° mins. Tendency to syncope. 481. —M. 10. Very pale. July, noon. For ingrowing toe-nail. C., on towel. 3iv- 10 mins. Felt O. very much.
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