Eminent doctors: Their lives and their work; Vol. 2 of 2Bettany, G. T. (George Thomas)
History
Eminent doctors: Their lives and their work; Vol. 2 of 2
Bettany, G. T. (George Thomas)
Medicine -- Great Britain -- History; Physicians -- Great Britain
The inconveniences occasioned by the smell of sulphuric ether, the
considerable doses required to be given, and its tendency to irritate
the bronchial tubes, led Simpson to inquire for and to try other
analogous liquids. He was recommended, among others by Dr. Gregory,
to try chloroform, discovered by Soubeiran in 1831 and Liebig in
1832, and accurately investigated by Dumas in 1835. He concluded
after much labour, and the expenditure of some hundreds of pounds,
that chloroform, without the unpleasant smell of ether, produced
more rapid effects with a smaller dose, and he very soon began to
use it in midwifery and to introduce it to his surgical friends for
operations. It was brought before the Edinburgh Medico-Chirurgical
Society on the 10th November 1847; and so well-known and favoured did
it become that in a very short time Simpson’s Edinburgh chemists were
manufacturing 7000 doses a day. Here we might almost stop in this
record, but for two things, one the controversies Simpson had as to
the impropriety and irreligiousness of removing pain, supposed to be
one of the Creator’s ordinances which ought not to be mitigated; and
the other, the deaths that began to occur under the administration of
chloroform. As to the first, a specimen of the objectors is furnished
by a clergyman, who wrote “that chloroform was a decoy of Satan,
apparently offering itself to bless woman; but in the end it will
harden society, and rob God of the deep earnest cries which arise
in time of trouble for help.” Even the relief of pain in surgical
operations was held by many to be unwarrantable. But a powerful
counter-argument was found, in the much greater ease and certainty of
success with which surgeons could now perform their operations when
the cries and writhings of the patient were removed. The controversy
that ensued, however, would fill a volume, and Simpson in it proved
himself, as ever, a hard hitter.
For many years scarcely anything but chloroform was used for
producing anæsthesia; but gradually numerous unexpected deaths under
its administration led many to think that it had too depressing an
effect on the action of the heart, in some cases at least, and led
to the trial of other agents, including bichloride of methylene, the
reintroduction of ether, and nitrous oxide. The two latter are very
largely used at present, and so also is a mixture composed of one
part by measure of alcohol to two of chloroform and three of ether,
also known as the A.C.E. mixture, from the first letters of the
three constituents. This is now considered by many to be safer than
chloroform. What will be the judgment of future experience we can
have no pretensions to decide.
Public-domain text, read in full here on John Shaqi.
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