File:Interstate medical journal (1906) (14781524674).jpg

Identifier: interstatemedica1319unse (find matches)
Title: Interstate medical journal
Year: 1906 (1900s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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oil, strychnia and adrenalin. J. P. L. Mummery, in the London Lancet, April 1st, 1905, says: Withthe experimental data now at hand and by observations made with thesphygmometer I think it possible to arrive at definite, satisfactory re-sults by use of artificial serum which may be enhanced by the addition ofcertain drugs; adrenalin, and ergot, and sums up his article as follows: Surgical shock is a condition produced by exhaustion of the vasomotorcenters and the resulting great fall in blood pressure. Collapse is a similar condition caused by lowering of the blood pres-sure from hemorrhage or paralysis of the vasomotor centers. ■ Read before the St>. Louis Surgical Society, November 15, 1905. 218 DORSETT. Jn another paper he says: Of the most effectual methods of treatingshock is the administration of such drugs as adrenalin, hemisine andergot in conjunction with artificial serum. Adrenalin if used in strongsolution will cause spasm of the heart by contraction of the heartmuscle.
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Fig. 1.—Transfusion apparatus. Janeway-records a case where 20 minims of 1-1000 was injected in-travenously with the result that after an interval of five minutes theblood pressure rose to a great height, reaching 230 mm. of mercury inthe course of the next three minutes. This was followed by a rapid fallin the pulse, there was a collapse accompanied by delirium and vomit-ing and recovery was not complete for some hours. Von Fuerth pointsout that apoplexy might follow its use in people predisposed. The most serious objection to adrenalin is the short duration of itseffect, but it might be contended in its favor that after its first action is TRANSFUSION. 21!) over, the artificial serum will continue the effects, and it is the immediateeffect which \vc want, as the marked physiology of shock teaches us thegreat fall in blood pressure is due to lack of peripheral resistance due togeneral vasomotor dilatation. The action of suprarenal extract in the raising of blood pressure wasfirst d

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