Treatment of croupous pneumonia in children / by Joseph E. Winters.

  • Winters, Joseph Edcil, 1848-1922.
Catalogue details

Licence: Public Domain Mark

Credit: Treatment of croupous pneumonia in children / by Joseph E. Winters. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    by mouth, digitalis, strychnine, and caffeine hypoder- matically; elevate foot of crib two feet and give two drachms whiskey in one-half ounce tepid water by rectum, oxygen inhalation under strong pressure con- tinuously. Given at right moment and in full doses these remedies prove effectual. When resolution is by lysis, stimulating treatment is seldom needed. Temperature in Pneumonia. This symptom is apportioned immoderate, dispro- portionate regard. Temperature of 104 or 105° in pneumonia is normal to the disease. Counteraction of lesion moderates it. Eighty per cent, of heat is lost by evaporation from cutaneous surface. Dilatation of cutaneous vessels propitiates evaporation. In pneumonia dilatation of cutaneous vessels is potent, safe febrifuge. Cold Bath and Cold Sponge in Pneumonia. Cold constricts cutaneous vessels. Constriction of cutaneous vessels enhances distention of pulmonary ves- sels—exudative consequents intensified. Cold bath abstracts heat, but cutaneous vessels contract restraining evaporation, therefore effect is transient. With reaccession temperature is hgher than before. Ample reason is in evidence. Muscular action increases heat. Witness a child during a cold bath: The voluntary violent struggling, scream- ing, and crying, the involuntary shivering. Involun- tary muscular contraction in shivering may increase combustion by 100 per cent. Liebermeister and Jiirgen- sen found that in a cold bath heat production was three or four times greater than normal. Abstraction of heat; increased production of heat; repression of elimination! ! After bath child is pinched, cyanosed, chattering teeth, a terrified piteous spectacle. Counteraction is [9]