Word: artusio
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...Operating Room D of Manhattan's New York Hospital, Surgeon-in-Chief Frank Glenn held a razor-sharp scalpel over the patient's chest and asked, "How is she?" Replied Chief Anesthesiologist Joseph Francis Artusio Jr.: "She's fine." Then Artusio addressed the patient: "Edna, can you hear me talking to you now?" She opened her eyes. "Edna, look over this way." She turned her head toward the sound of Dr. Artusio's voice...
...more ado, Surgeon Glenn cut into the chest of Edna, 37, a housewife who had had rheumatic fever at 18 and was now suffering from scarring and narrowing of the mitral valve in her heart. As the scalpel made swift but precise cuts and laid bare a rib, Dr. Artusio asked: "Can you nod your head?" Edna nodded. Dr. Glenn lifted a pair of shears and snipped out the rib. Then he cut deeper, through the layers of the heart sac, until the pulsing organ itself was laid bare. He plunged his gloved finger into it and wiggled his fingertip...
...most operations it has been thought best to have the patient totally anesthetized and unconscious. But this can be dangerous for the "poor-risk" patient with a failing heart, because the circulation may collapse entirely. To get around this hazard, Drs. Glenn and Artusio went back to a 100-year-old medical observation that had never been put to practical use, i.e., the fact that when the ether of ordinary anesthesia is wearing off, surgery can still go on, because for a while the patient feels no pain...
...bring about this painless state, or analgesia, which involves the entire body,* Dr. Artusio puts patients through all the usual sequence of anesthetics (barbiturates, thiopental sodium, nitrous oxide, oxygen, ether) until they lose consciousness. Then he gives more oxygen and less ether, so that they edge back across the threshold into consciousness, and holds them at this level. Edna's case, filmed in color by E. R. Squibb & Sons for hospitals and professional groups, was typical of 120 mitral valve repairs on which Drs. Glenn and Artusio have worked-enough, they feel, to establish that ether analgesia is just...
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