On the administration of anaesthetics in nasal obstruction and naso-pharyngeal operations / by J. Fredk. W. Silk.

  • Silk, J. Fredk. W. (John Frederick William), 1858-1943.
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: On the administration of anaesthetics in nasal obstruction and naso-pharyngeal operations / by J. Fredk. W. Silk. 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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    position is quite inadmissible. The mouth need not be propped open before commencing, but perhaps it is better to do so. I always use the so-called Skinner’s inhaler or cage and a drop bottle, and it will be found of advantage in childen and nervous women, to commence the inhalation with a little Eau-de-Cologne or other scent. The covering of the cage should be domette or a coarse flannel ; fine textured coverings are wasteful, and do not allow of a free admixture of air. Ordinary flannel too by repeated washing, tends to become gradually more close in texture. The anaesthesia may be maintained by means of the corner of a towel, or a Junker’s inhaler containing chloroform, but I prefer myself to continue the use of the Skinner throughout, for reasons similar to those given above, when discussing the maintenance of ether narcosis, and also because I think there is less danger of over anaesthetising the patient, which may very readily be done with such a substance as chloroform, the vapour of which is so much heavier than air. Mixtures.—Little need be said concerning the administration of mixtures ; it may be laid down as a general rule, that mixtures containing the slightest trace of chloroform, should be given in precisely the same way as that agent. Mixtures of ether and alcohol alone, may be admin- istered as ether. In maintaining chloroform narcosis, I not infrequently use mixtures of that drug, either with ether alone or with alcohol and ether on a Skinner’s cage, or from a Junker, but I do so rather with a view to diluting the chlox-oform, than with the idea that any superiority attaches to such combinations. A very satisfactory method of administration is to induce profound narcosis by the combined method (gas and ether) above alluded to, and to maintain the anaesthesia by means of chloroform, using for this latter purpose a Junker’s inhaler and tube. 6, Chandos Street, Cavendish Square, W. 49*9] Withrrby & Co., Printers, 326, High Holborn, W.C.