Prevention of Shock by the Application of the Principle of
Anoci-association
Upon this hypothesis a new principle in operative surgery
is founded, i. e., operation during the state of anoci-association.
Assuming that no unfavorable effect is produced by
the anesthetic and that there is no hemorrhage, the cells of
the brain cannot be exhausted in the course of a surgical
operation except by fear or by trauma, or by both. Fear
may be excluded by narcotics and special management until
the patient is rendered unconscious by inhalation anesthesia.
Then if, in addition to inhalation anesthesia, the nerve-paths
between the brain and the field of operation are blocked with
cocain,[6] the patient will be placed in the beneficent state of
anoci-association, and at the completion of the operation
will be as free from shock as at the beginning. In so-called
"fair risks" such precautions may not be necessary, but in
cases handicapped by infections, by anemia, by previous
shock, and by Graves' disease, etc., anoci-association may
become vitally important.
