A consideration of general anesthesia with a presentation of instruments / by Frederic Griffith.
- Griffith, Frederic.
- Date:
- [1903]
Licence: In copyright
Credit: A consideration of general anesthesia with a presentation of instruments / by Frederic Griffith. 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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![[Reprinted from American Medicine, Vol. VI, No. 21, pages 826-827, November 21, 1903.] A CONSIDERATION OF GENERAL ANESTHESIA WITH A PRESENTATION OF INSTRUMENTS.1 BY FREDERIC GRIFFITH, M.D., of New York City. Surgeon, Bellevue Dispensary; Fellow of the New York Academv of Medicine- Assistant Surgeon at the New York Polyclinic School and Hospital; Assistant Surgeon (G. U.), New York Hospital (House of Relief), etc. The action of an anesthetic is produced by direct influence upon the cerebrospinal nerve centers. Indications for Its Use—To relieve the pain of opera- tive work; of childbirth; to overcome the general spasm of strychnin poisoning, of traumatic tetanus, and of puerperal, hysteric and uremic convulsions; muscle spasm in fracture and dislocation ; and for the relief of pain and to secure relaxation during the passage of gall- stones or kidney stones. Selection. of Anesthetic.—Use ether by choice when the administrator is inexperienced, in atheroma and organic heart disease. Loud murmurs denote power of muscle, therefore any anesthesia is safer than when the low murmurs show poor compensation. Use chloroform in brain and eye work in the presence of lung or kidney disease. Use nitrous oxid as a preliminary to other general anesthetics, to regain motion in ankylosed joints. Nitrous oxid is counterinclicated in atheroma and aneurysm, Ethyi bromkl is prompt in action, pleasant like chloroform, and safer, in that it does not depress the heart. It sometimes produces anesthesia without uncon- sciousness. Administration. No two individuals ever take an anesthetic in exactly the same manner, and the skilful administrator is the one who has recognized this and is simply careful. Ether may be more carelessly used than Slf°rm[-iyetBb0th are deadly; chloroform kills quickly, while ether may cause the death of a patient days after operation. The anesthesia is often of more t7on, May lM903 theNeW Y°rk Academy of Medicine, Surgical Sec-](https://iiif.wellcomecollection.org/image/b22478449_0005.jp2/full/800%2C/0/default.jpg)
