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Related post: he wished to give the profession the benefit of it.
It was freer from subsequent complications than
any other general anaesthetic known. It was by far
the most difficult general anaesthetic to administer,
because of the following reasons: i. The physical
properties of nitrous oxide were such that this gas
must be given from eighty to ninety per cent, pure,
in order that a sufficient saturation of the blood
might be had to produce that change in the nerve
cell which brought about the anaesthetic state. 2.
The anaesthetic properties of nitrous oxide and oxy-
gen were extremely evanescent. The .patient could
pass from complete surgical anaesthesia to a con-
scious state within sixty seconds. The extreme
rapidity of induction and elimination made the ad-
ministration of this anaesthetic difficult. 3. Muscu-
lar tone was maintained to a much greater extent
than it was under ether or chloroform, due proba-
bly to an increased per cent, of carbon dioxide in
the blood.
The requirements for the proper administration
of nitrous oxide and oxygen were: i. A thorough
understanding of the technique of administration
and action of nitrous oxide and oxygen. 2. The
apparatus must be accurate, have attachments for
the administration of other general auccsthetic
agents, and be easily sterilized.
Dr. Bremerman stated that in his special work.
which dealt entirely with the bladder, ureters, and
kidney, or conditions involving the genitnirinary
tract, he had employed as a general anaesthetic a
combination of nitrous oxide gas and oxygen exclu-
sively during the last two or three years. As it be-
came necessary to perform major surgical opera-
tions upon the aged, particularly for the removal of
the prostate, he could not recommend more highly
any other anaesthetic. It produced none of the un-
toward after effects, such as nau>ea and vomiting.
The patient was usually awake before he left the
operating room. It Buy Intagra had a great tendency to reduce
the shock of the operation by shc^rtening the length
of the anesthesia, and in his bancs it had given per-
fect satisfaction.
Dr. Fenton B. Turck, of Chicago, stated some
vears ago he conducted a series of experiments on
October 29, 19 10.]
PROCEEDINGS OF SOCIETIES.
889
animals with chloroform and ether with a view Intagra 100 of
determining the changes that occurred in the blood.
It was found by these experiments that there was a
loss in the antibodies and ferments in the blood, and
that there was diminished resistance to bacteria, as
was shown by the agglutinins, precipitins, and other
substances which were found in the antibodies in the
blood. It was found that those animals went into
shock very easily in which there was a lowered con-
dition of the blood. These experiments showed the
effects of ether and chloroform on the serum itself,
and two conclusions were arrived at, one being that
there was an actual direct chemical effect on the
serum, and the other was that biological changes
took place and acted on the cells as toxines.
Acetabular Fracture with Intrapelvic or Cen-
tral Dislocation of the Femoral Head. — Dr.
William Fuller, of Chicago, detailed two cases of
this class of fracture and presented for consideration
a few points in a general way pertaining to this im-
portant but, as yet, imperfectly understood subject.
So close was the relation between fractures and the
changes that took place in the bone, whatever they
might be, that all such injuries resulting from trivial
or slight degrees of violence should be regarded as
possibly belonging to this class. Efforts had been
made by several observers to put the aetiology of
fractures on a physical basis by studying the me-
chanical capabilities of bone. The great strength of
the pelvic bones, their peculiar and powerful articu-
lations, and liberal muscular supply were factors
which, singly and combined, contributed much to
the neutralization of all forms of direct violence ex-
erted on this portion of the body. While Katz's
theory of the mechanism of certain acetabular frac-
tures would probably hold good, it was also worthy
of mention that the experiments of Kusmin's demon-
strated that this fracture could or would not occur
unless the force was applied with the femur in ab-
duction. When the legs were kept parallel the acet-
abulum remained unfractured.
From impacted fractures of the femoral neck cen-
tral dislocation of the femoral head might be distin-
guished by the age of the patient and the compara-
tively high degree of injury in the latter instance.
The remarkably sunken appearance of the greater

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