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NEW ORLEANS POLYCLINIC.--Post-Graduate Medical Department Tulane University of Lousiana. Twenty-first annual session opens November 4, 1907, and closes May 23, 1908. Physicians will find the polyclinic an excellent means for posting themselves upon modern progress in all branches of medicine and surgery. The specialties are fully taught, including laboratory and cadaveric work. For further particulars, address New Orleans Polyclinic, P. 0. box, 797, New Orleans, La.
The Use of Adrenalin During Ether Anesthesia.
BY CHARLES S. YENABLE, M. D., CHARLOTTSVILLE, VA.
Recognizing that my experience in the use of Adrenalin during ether anesthesia is but very limited, covering a course of only eighteen cases, and knowing the many fallacies attendant upon too early conclusions. I feel a great hesitancy in making this report. However, owing to the uniform result that has attended its use, I am prompted to do so now.
I found that 25 per cent aqueous solution of the standard 1 in 1000 gave the best results, and that by first pouring ether in the towel cone and spraying the Adrenalin solution on it, depending on the ether to vaporize it sufficiently for inhalation, was the best mode of administration. Three to six-minute intervals are sufficient for its use and a total of from one-half to one ounce of this solution is enough for an operation lasting from thirty minutes to an hour. The effects are a more uniform etherization, the pulse becoming steadier, slower and of better character more rapidly than under ether alone; respirations are quiet and regular, the bronchial secretions are practically checked, and the progress of the operation is not interrupted.
These cases were not selected, and among them were old alcoholics; two women over 60, one of them nearly 80 years of age. Three were very long tedious operations, lasting over two hours, and in none of the series was any stimulation required during the anesthesia.
Recovery from the anesthetic was uniformly good; there was practically no post-operative shock, and no stimulation was needed in any one of the cases; only two patients vomited at all and very little nausea was complained of.
From the foregoing facts I conclude that owning to the contraction of the smaller vessels the bronchial glands secrete less mucus, and there is better aeration in the bronchioles and pumonary vesicles, less ether is required to produce anesthesia and there is less probability of ether pneumonia following. The Adrenalin, acting generally from absorption, is a powerful stimulant; it materially lessens shock, lessens the capillary ooze at the field of operation, and is of great benefit to the much weakened patient.From the Virginia Medical Semi-Monthly.
is less peles, less ethebetter aerati the bronchia
Entered at the Postoffice at Austin, Texas, as second class matter.
AUSTIN, TEXAS, SEPTEMBER, 1907.
Reference to the Pathology and Differ-
Medical Association of the Southwest
(Missouri, Kansas, Oklahoma, Indian
Territory, Arkansas and Texas).......... 557
Lennan County Medical Society.......... 558
gress, August 19, Buffalo, N. Y.......... 556
ternities of America, Buffalo, N. Y.,
INDEX PAGE XI.
MILK PREPARED WITH PEPTOGENIC MILK POWDER
AN ADAPTABLE FOOD
Milk prepared with Peptogenic Milk Powder by the regular formula (No. 1) has the composition and characteristics of average normal mothers' milk, and proves a perfectly successful food for the average healthy infant during the usual nursing period.
The method of preparation may also be adapted to meet the indications in cases presenting unusual delicacy of digestion or peculiarity of function.
For instance the food may be made more digestible—to the point of almost instant absorbability, if necessary—by Directions No. 2; the proportion of fat may be reduced by using less cream or none at all; the proteid content lessened by extra dilution with water, or with a thin cereal gruel; if a raw food seem desirable, the “Cold Process" is available.
Directions for these simple adaptations are given in the literature relating to Peptogenic Milk Powder, which, with samples, is sent freely to physicians upon request.
Peptogenic Milk Powder is not advertised to the public.
FAIRCHILD BROS. & FOSTER
(Pronounced Kinuo sol)
ANTISEPTIC, GERMICIDE, DISINFECTANT, DEODORIZER, STYPTIC.
Free from the Dangers of Poisoning, yet 5 TIMES As EFFICIENTAS CORROSIVE SUBLIMATE. 100 . . . . CARBOLIC ACID.
. o . LYSOL. MANY, MORE THAN ANY OTHER PRODUCT YET FOUND.
PARTIAL LIST OF AUTHORITIES.
Dr. Vogelius, Bacteriologist Laboratory University, Copenhagen.
PARMELE PHARMACAL CO.,
54 & 55 SOUTH 6T., N. Y.
“Well borne by the most delicate stomach.”
A combination of Creosote with the Hypophosphites
918 SIXTH AVE., NEW YORK.
SAN FRANCISCO, CALIFORNIA.
Founded by PROF. L. C. LANE, and Successor to the Oldest Established Medical College on the Pacific Coast.
Session Begins August 15th of Each Year.
The minimum entrance requirement is a certificate of graduation from an accredited high school, academy or preparatory school, or of admission to the regular course of a university
Instruction is by recitations, laboratory and practical operative work and clinics. Fully equipped laboratories are offered in Biology, Embryology, Anatomy, Chemistry, Histology, Materia Medica, Physiology, Bacteriology and Pathology.
Clinical opportunities, including hospital, dispensary and midwifery work are excellent. Students have cases directly under their care for diagnoses and treatment.
All graduates can secure interneships in hospitals with excellent opportunities for practical experience. Announcement with full particulars sent on application to
HENRY GIBBONS, Jr., A. M., M. D., Dean.