Open drop ether (part two). No. 2.

Date:
1944
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Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)

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Credit

Open drop ether (part two). No. 2. Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Source: Wellcome Collection.

About this work

Description

A technical film (part of a series) apparently aimed at the inexperienced anaesthetist. The four stages of anaesthesia are demonstrated when the anaesthetist uses the open drop ether method. Good practice is shown. This contrasts with the pitfalls of ether anaesthesia; a comedy of errors about what you shouldn't do. Part two of two. 2 segments

Publication/Creation

UK, 1944.

Physical description

1 encoded moving image (10:33 mins): sd., b&w.

Duration

00:10:33

Copyright note

ICI

Terms of use

Unrestricted
CC-BY-NC
Creative Commons Attribution-Non-Commercial 2.0 UK: England & Wales

Language note

In English.

Creator/production credits

Direction by Margaret Thomson, Photography by A.E. Jeakins. Produced by Realist Film Unit. Made with the co-operation of the Department of Anaesthetics, Westminister Hospital, London.

Contents

Segment 1 Part two of this title. A continuation of the pitfalls of ether anaesthesia. Intertitle; 3. Lack of premedication. The anaesthetist becomes aware that his patient's breathing is troubled and, upon investigation, finds that he is over salivating; the premedication was given only 5 minutes prior to anaesthesia, the patient also has false teeth, which are removed. The patient vomits. The male patient is tended to. A nasal airway is inserted and induction continues. Intertitle: 4. Laryngeal spasm in the second stage. If the mask becomes soaked with ether, then the patient may suffer from stridor; their breath becomes laboured and may stop. The mask is removed until the spasm has passed. A further complication is cyanosis, this may result in his heart stopping, the pulse is checked. Anaesthesia continues. Intertitle; 5. Respiratory arrest due to overdose. The next patient is deeply anaesthetised; the eyes are shown. This is the fourth stage. The patient's pulse is checked; it is steady. Artificial respiration is demonstrated by her chest being massaged and then oxygen with carbon dioxide is introduced. The masks are replaced. Time start: 00:00:00:00 Time end: 00:06:16:22 Length: 00:06:16:22
Segment 2 Intertitle: 6. Laryngeal spasm due to surgical stimuli. A surgical situation where a patient is in light anaesthesia, stridor occurs and the operation pauses until anaesthesia deepens, at this point the muscles will relax and the operation can commence. The patient's eyes are examined. Intertitle: 7. Excessive use of corneal reflex. If the eyes are examined often, this can damage the eye and lead to infection. At the end of the operation, liquid parafin or castor oil is dropped into the patient's eyes. Intertitle: Recapitulation. A summary, all the pitfalls can be avoided. A clear airway must be maintained. Anaesthesia is performed. Of note: nurses in the background wear tall white conical hats. The narrator reminds the audience that ether is explosive if mixed with oxygen. Intertitle: Ether anaesthesia in emergency. A GP removes anaesthetic apparatus from a bag and whilst on a house call tends to a patient in a bed. The next scenarios are firstly, a road accident and then in a tent during active service. RFU The End. Time start: 00:06:16:22 Time end: 00:10:33:00 Length: 00:04:17:03

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