Some cases of cerebral disease in which the function of respiration entirely ceases for some hours before that of the circulation / by Sir Dyce Duckworth.

  • Duckworth, Sir Dyce, 1840-1928.
Date:
1898
Catalogue details

Licence: Public Domain Mark

Credit: Some cases of cerebral disease in which the function of respiration entirely ceases for some hours before that of the circulation / by Sir Dyce Duckworth. 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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    the two, and lesions involving both tell primarily and with most force upon it. Wo may take it that the respiratory centre is the first to give out, and that it is the most vulnerable of all the great organic nerve-centres, the tirst to resent undue intracranial pressure. The clinical lessons of cases such as I have described are the following:— 1. That efforts be made promptly to relieve intracranial pressure by trephining and probing. 2. To maintain artificial respiration diligently as long as necessary ; that is, until the respiratory centre can resume its function independently. 3. To regard a lowered temperature as no contra-indication of purulent foci or hemorrhagic foci in the brain. The fact of depressed or normal temperature is as significant in these cases as is the same occurrence in many examples of purulent peritonitis. I desire to express my thanks to my hospital colleagues for kindly allowing me to make use of their cases for this com- munication.
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