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profession a few years ago. Numberless theories were advanced, of which but one stood the test. The final conclusion was. in substance, respiration is due to the irritation uf the respiratory centre in the brain by the carlmn dioxide content of the blood. This conclusion is. indeed, a fact, as can be read- ily demonstrated by rx paxil the inhalation of a paxil price mixture of carbon dioxide and air. The paxil 30 mg blood under normal circumstances has a content of from two to four per cent, of carbon dioxide, which is quite enough to carry on normal respiration. To remove that gas and to allow its place to be taken by oxygen, you can readily see. would produce a condition of acap- nia or a cessation of respiration. If this is so, is it proper to administer a full percentage of oxygen for the production of artificial respiration? As paxil 12.5 mg I have said, the required amount of oxygen is about eight per cent. The atmospheric air contains about twenty per cent, oxygen. Atmospheric air also con- tains traces (to the extent of nearly one per cent.^ of carbon dioxide ; the balance of the mixture being, mainly nitrogen. Would it not be better, then, to substitute for the oxygen just plain air, from which the requisite amount of oxygen may be taken, and if the necessary amount of oxygen cannot be ob- tained from the air at the normal number of respi- rations per minute, is it not possible paxil prescription to increase the number of respirations and so wash the blood more frequently, and thus attain the desired end? Is it not better to use the air. the natural medium, if for no other reason than for its content of carbon diox- ide, which, by its property of causing respiration, will institute that function with less shock to the organism ? After a consideration of the objections and dis- advantages of the pulmotor it occurred to me that an apparatus embodying but few of those disadvan- tages was possible. The apparatus show-n is the re- sult of that idea and many experiments. Its ad- vantag'es mav be enumerated as paxil price india follows paxil 25 mg : It is not cumbersome and heavy ; in fact, it can be carried in a small case and weighs less than ten pounds. It does not depend upon any brand of oxy- gen, nor does its operation depend upon compressed gas. It is operated by hand and foot in the least tiring manner: bolh hand and foot can be changed without losing time or causing trouble. Its appar- ent initial cost is low, and it has no cost of upkeep. Finally, it makes use of paxil 10 mg air. If it is desired oxygen may be employed, or a combination of oxygen with a definite proportion of carbon dioxide, but my own experiences suggest the use of atmospheric air of which there is always a plentiful supply. The technic follows ; \\'ith the patient lying down, the shoulders are raised by means of a pad, so that the head cheap purchase online paxil falls well back. The mouth is opened and a prop or gag placed between the jaws. False teeth or other loose articles are removed from the mouth. Grasp the tongue and draw it, even strain it, well forward, pulling it as far as it will go. Pass cheap order paxil the finger down the throat and swab out am' mu- cus that may be present, and dra\v the epiglottis against the base of the tongue. The tongue, being held as well forward as possible, the mask is adapt- ed to the face, ^^'ith the tongue between the mask AuBUSt 23, I9'3J TOMI'KIXS: THE RESPIRATOR. 37' and the chin, and held firmly paxil mg in place by a ])icce of sauze. strap the purchase cheap paxil mask to the face; it must be very tisjht, so that no air may leak in or out. These details havinjj been observed, the mask is connected to the valve mechanism by a piece of rub- lier tubing paxil price in pakistan from eight to twelve inches long. The valve mechanism is connected by more tubing to a pump or bellows of some description. The bellows I use is the best I have Ixx'n able to find thus far. I would, however, prefer a nuich paxil discount smaller pump, but up to date I have been unable to find one. All purchase paxil coimections being well made and tight, the bellows is pumped and air forced ah ng the tubing through the valves into the lungs, liv pressing down on the valve stem, the air in the limgs is forced out into the atmo>;phere by the elas- liG. I.— The respirator. A. The safety valve, paxil cr on which is an index showing the pressure of air or gas allowed to enter the lungs. B. The piston. Moving this paxil price without insurance up or down allows the air or paxil buy gas to enter the lungs or to escape from the lungs. C. Ports, allowing the air to escape trom the apparatus when lungs deflate. U. Lugs or bars, to which the straps are attached for fastening the mask to the face. E. The phar.vngeal tube, to be used when the mask is inoperative or not applicable. ticity of the lung tissue. The valve stem is al- lowed to rise, and air is again admitted to the lungs. generic paxil The raising and lowering of the valve stem controls the number of respirations allowed per minute. On the valve mechanism is found a safety valve winch controls the pressure of air. When the pressure of air 'n the lungs reaches a predetermined point, as set for on the index, this valve allows the excess air to pass into the atmosphere, and thus keep the pres- sure down to where it can do no harm. This is all there is to the machine. For demonstration purjioses, I use the pharyngeal tubes, which are placed with all the precautions ob- served in fitting the mask. W'hh the tongue well

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