Practically it was found to be of much value in attacks of dizziness and
faintness occurring in anaemic individuals, as also in a fainting-fit
from renal colic, and in several cases of collapse during anaesthesia by
chloroform.
It has been recommended in asphyxia from drowning, hanging, and in
asphyxia of the new born, but the first indication in these cases is the
induction of artificial respiration, after the successful initiation of
which inhalations of nitrite of amyl doubtless assist in overcoming the
concomitant spasm of the smaller arteries.
One of the most important indications for the use of the drug is
threatening paralysis of the heart from insufficient compensation. In
such cases it is necessary to gain time until digitalis and alcoholics
can unfold their action, and here nitrite of amyl stands pre-eminent. A
single case in point will suffice to illustrate this. The patient was
suffering from mitral insufficiency, with irregular pulse, loss of
appetite, enlargement of the liver, and mild jaundice. Temporary relief
had been several times afforded by infusion of digitalis. In February,
1879, the condition of the patient suddenly became aggravated. The pulse
became very irregular and intermittent. The condition described as
delirium cordis presented itself, together with epigastric pulsation
and vomiting.
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