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THE VALUE OF CARBOLIZED WATER FOR THE PREVENTION OF SHOCK IN LITHOLOPAXY, WITH THE RESULTS OF NINETEEN CASES.

1884; American Medical Association; Volume: III; Issue: 18 Linguagem: Inglês

10.1001/jama.1884.02390670009001d

1538-3598

Edmund Andrews,

Paleopathology and ancient diseases

Presented to the Section of Surgery and Anatomy of American Medical Association, May, 1884. The power of carbolic acid to benumb the sensibility of the nerves, when applied locally, is well known. For several years I have acted on this hint in the new operation of litholopaxy, with the view of blunting the impressibility of the urethral and vesical nerves, so as to make them tolerate the prolonged use of instruments without shock. For this purpose I provide a large supply of warm carbolized water, of the strength of from 1½ to 2 per cent., and use this exclusively, both to distend the bladder during the crushing of the stone and to wash out the fragments. The result is so gratifying that I cannot but attach great value to this method. I have tried it in nineteen cases, with only one death. The patients averaged nearly 60 years of age