Commentaries on the Surgery of the War in Portugal, Spain, France, and the Netherlands: from the battle of Roliça, in 1808, to that of Waterloo, in 1815; with additions relating to those in the Crimea in 1854-55, showing the improvements made during and since that period in the great art and science of surgery on all the subjects to which they relate. — John Shaqi
Commentaries on the Surgery of the War in Portugal, Spain, France, and the Netherlands: from the battle of Roliça, in 1808, to that of Waterloo, in 1815; with additions relating to those in the Crimea in 1854-55, showing the improvements made during and since that period in the great art and science of surgery on all the subjects to which they relate.Guthrie, G. J. (George James)
History
Commentaries on the Surgery of the War in Portugal, Spain, France, and the Netherlands: from the battle of Roliça, in 1808, to that of Waterloo, in 1815; with additions relating to those in the Crimea in 1854-55, showing the improvements made during and since that period in the great art and science of surgery on all the subjects to which they relate.
Guthrie, G. J. (George James)
Crimean War, 1853-1856 -- Medical care; Napoleonic Wars, 1800-1815 -- Medical care; Surgery, Military -- Europe -- History; War wounds -- Europe -- History
“Twenty-five minims of chloroform produce only twenty-six cubic inches
of vapor, and as one hundred cubic inches of air, at 60° Fahr., will
take up fourteen cubic inches of vapor, and at 70° will take up
twenty-four cubic inches, if fully saturated, it is quite possible
that the air during inhalation may contain ten per cent. of the vapor,
if means be not taken to prevent it. Under these circumstances,
each hundred cubic inches of air would contain nearly ten minims
of chloroform, and this might be taken into the lungs at once by a
rather deep inspiration. The average quantity of chloroform present
in the blood of an adult, when sufficiently insensible for a surgical
operation, is eighteen minims, while twenty-four minims are as much as
can be present in the system at one time with safety. The absorption
of a little more than thirty minims would have the effect of causing
death, even if it were equally diffused throughout the circulation. It
must be evident, therefore, that to take ten minims of chloroform into
the lungs at one inspiration, when insensibility is almost complete,
must be attended with danger.
“Robust persons, accustomed to hard work or violent exercise, are very
apt to become affected with rigidity of the muscles and struggling,
when nearly insensible from chloroform; and they often hold the breath
for a time, and then draw a deep inspiration. It is under these
circumstances that several of the accidents from chloroform have taken
place, and extreme care is required to give the chloroform more than
usually diluted with air, when this state of unconscious struggling and
rigidity occurs.
“The most important point to attend to, in the exhibition of
chloroform, is to insure that the vapor shall be sufficiently diluted
with air during the whole process of inhalation. This may be effected
with a suitable apparatus and proper attention, or if an inhaler be
not at hand, the chloroform should be diluted with one or two parts
by measure of rectified alcohol. One or two drachms of this may be
placed on a hollow sponge, and repeated when required. The spirit
has the effect of limiting the quantity of chloroform which rises in
vapor, while very little of the diluent is inhaled, since, from its
lower volatility, the greater part of it remains on the sponge or
handkerchief employed to exhibit the chloroform.
Public-domain text, read in full here on John Shaqi.
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