Читать книгу The Surgery of the Skull and Brain - Louis Bathe Rawling - Страница 23

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Needless to say, it is essential that the surgeon should have at his disposal an anæsthetist of great experience in head operations.

Ether is regarded with favour in the United States, and in other countries, but we prefer chloroform on the ground that, by its lowering effect on the blood-pressure, there is less venous oozing, and added to this there is probably less tendency to post-operative vomiting. I have recently had the opportunity of seeing the open ether method as carried out in the States, on one occasion for an operation lasting four hours, and in this and in other cases the patient left the operation table in excellent condition, recovering also rapidly from the effects of the anæsthetic.

The lowering of blood-pressure as produced by chloroform might be advanced as an argument against the use of that drug, shock being the greatest danger to be feared in these operations. Still, I must say that I prefer chloroform so long as it is administered by a skilled anæsthetist.

In any case, it is advisable to have oxygen ready to hand.