On the Use of Ether and Etherised Cod-Liver Oil in the Treatment of Phthisis

B. W. Foster
1868 BMJ (Clinical Research Edition)  
570 THE BRITISH MEDICAL 7OURNAL. [Nov. 28, i868. yeball, which interfere so seriously with the operator's manipulations, may all be overcome by the administration of chloroform; and I should resort to this anaesthetic at any stage of an operation, although commenced without it, did the patient demonstrate by his conduct that he was not possessed of that amount of self-control necessary to its successful completion. The occurrence of vomiting, which is the great bugbear of chloroform, so far as
more » ... oroform, so far as its use in cases of cataract-operation is concerned, may be guarded against by the administration of an efficient purgative the day previous, by interdicting supper, and permitting only a very light breakfast, with a small cup of tea four hours before the operation; while any feeling of faintness may be removed by the administration of two tablespoonfuls of equal parts of brandy and sherry, in sips, twenty minutes before commencing the extraction. Should vomiting occur in spite of these precautions, we may prevent its ill effects by the instant application of a compress bandage, which should, at the commencement of the operation, be secured above the brow by a strip of plaster, so as to be ready for use without disturbing the patient. Vomiting ceases to be a very serious symptom when met in this way; and I am not aware of any other objection to the use of chloroform. The ease with which the lens may be extracted in the dead subject, has often been remarked; and the conditions so favourable to operation in the dead may be very faithfully imitated in the living if the anesthesia be only pushed far enough. By commencing the incision at the summit of the cornea, and limiting it (until the cap-
doi:10.1136/bmj.2.413.570 fatcat:stck6gbbn5fkxemknszomwqofu