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Society became alarmed and relegated fumigation MEDICAL RECORD. [July 7, 1917 to the list of forbidden rules (Keith). The use of artificial respiration as a viagra 100mg length method of resuscitation had rather a variable fate during this period. Aside from the barrel method (rolling those ap- parently dead from drowning on a barrel), artificial respiration was performed by inflation of the lung from mouth to mouth while the nose of the victim was kept closed, a method which seemed to have been long in practice in reviving the still-born and which, in this domain, is occasionally still in use. How- ever, about 1776, the bellows method came to the front. John Hunter constructed double chambered bellows, one chamber being used for filling the lungs viagra 100mg length and the other chamber for suction." Hunter recom- mended the use of oxygen for inflation — discovered only two years previously by Priestly. Monro se- cundus also constructed a double-chambered ap- paratus; his bellows, however, were too large; the chambers had a capacity of 1500 cubic centimeters. The bellows, which were later accepted by The Royal Humane Society, were designed by Charles Kyte and had a capacity of only 500 cubic centimeters. The nozzle of the tube connected with the bellows was introduced into one nostril while the other nos- tril, as well as the mouth, were kept closed, and the cricoid was lightly pressed backwards to prevent buy viagra org the insufflated air from passing down into buy viagra org the esophagus. Goodwin discovered that in the ap- parently dead the tongue falls backwards ; the insuf- flation of air might therefore rather assist in oc- cluding the entrance into the larynx by pressing down the tongue upon the epiglottis. Monro over- came this difficulty "by passing the catheter into the larynx by way of the mouth. "t "From 1782 on- wards bellows were recommend by The Royal Hu- mane Society as the best means for artificial respi- buy viagra org ration. . buy viagra org . . For 40 years no one had a word to say against them; they were used in every country." However, in the twenties of the nineteenth century Benjamin Brody began to maintain that artificial respiration was only a secondary means in the resuscitation of the apparently dead, and in 1829 Leroy d'Etiolles stated in a memoir that it was pos- sible to kill an animal by suddenly inflating its lungs. "Leroy's experiments alarmed The Royal Humane Society . . . the bellows fell into disgrace and in 1837 it disappeared from the list of methods recom- mended by the society." Keith tells us that "dur- ing the period in which artificial respiration was in abeyance the chief treatment lay in the application of warmth, treatment commencing with the immer- sion of a patient in a bath at about 100° F." The following data, taken from one of Keith's tables, present us viagra 100mg length with a bewildering illustration. From 1795 to 1811, when warmth and inflation (bellows) were used, there were as may as 54.8 per cent, un- successful cases; from 1832 to 1851, when warmth and friction were used, there were only 10 per cent, unsuccessful cases. Is this striking contrast merely an outcome of the familiar unreliableness buy viagra org of infor- *The invention of an apparatus for artificial respira- tion in which the inspiration is accomplished by insuffla- tion and the buy viagra org expiration by suction has been in recent years usually ascribed to the noted Viennese pharma- cologist, H. H. Meyer. As we see, this form of appara- tus was invented and used by John Hunter at least 140 years before. See Keith'. t More than a hundred years later we find in the medi- cal literature several living writers claiming priority for the inventon of this procedure. mation derived from statistical data, or is it due to the fact that inflation of the lungs by bellows is indeed a very dangerous procedure? As stated above, the year 1856 introduced the second period in the history of resuscitation. In contrast to the foregoing decades, artificial respira- tion became practically the only buy viagra org method of resusci- tation. However, the character of the artificial respiration practised buy viagra org nearly exclusively in the great- est part of the second period, assumed a different aspect. While in the first period inspirations were produced by inflation, in the new methods of arti- ficial respiration, the inspiration was accomplished by aspiration, and the procedures, which are ex- pected to bring about artificial respiration, con- sisted buy viagra org in manual handling of the victim. These methods of artificial respiration possess the un- doubted advantage that no special apparatus are re- quired for their performance, and that the manipu- lations can be started immediately buy viagra org on discovery of the victim. Some sort of movements of the chest and abdomen were undoubtedly practised ever since attempts of resuscitation were made. But the move- ments we are viagra 100mg length speaking of here are of an orderly, systematic character, based upon more or less well founded scientific observations. These movements may be divided into three classes: 1. Movements which produce originally ac- tive expiration, while the inspiration is accomplished passively. 2. Movements which actively produce in- spiration, while the expiration is accomplished pas- sively. 3. Active movements producing the inspira- tion as well as the expiration. This last mode of respiration was the first new form which was in- troduced in 1856 by the celebrated physiologist Mar- viagra 100mg length shall Hall and which was viagra 100mg length termed by him the "pos- tural method." The subject was first placed in the prone position and pressed upon the back, causing thereby an active expiration ; it was then turned over on the side and the shoulder was raised, which brings about an active inspiration. Soon after Hall's com- munication was made, Sylvester introduced the method which is now known by his name. The sub- ject is kept in the supine position and both arms