It sometimes happens, at an operation, that the patient moves. Mostly,
this movement is at the moment of the first incision through the skin;
but it may be at some later period during the operation. He does not
remember, after the operation, that he moved, or that he felt
anything. That is incomplete anæsthesia, or light anæsthesia. The
corneal reflex may be abolished, and still the patient may move.
Seven years ago some experiments were made in this country by an
American surgeon. In the published account of them, it was said that
one of the animals was, at one time, under incomplete anæsthesia, and
that, in the case of another animal, the anæsthesia was at one time
overlooked. This latter phrase meant not that the anæsthetic had been
left off, but that it had been given in excess, so that the
blood-pressure suddenly fell. The character of the experiments, and
the occurrence of these two phrases about the anæsthesia, roused some
criticism, and the Home Office instituted an inquiry into the matter.
"That inquiry," it said, October 11th, 1899, "resulted in showing no
evidence whatever that the animals experimented on by Dr. Crile felt
pain. On the contrary, all the evidence shows they did not." The Act
does not go into questions of corneal reflex, and unconscious muscular
movements, and all the undefinable shades between incomplete
anæsthesia and complete anæsthesia and profound anæsthesia. "The only
substantial question," says the Home Office, "is whether or no the
animal has been during the operation under the influence of an
anæsthetic of sufficient power to prevent it feeling pain. This is the
requirement of the law." We cannot refuse to call morphia and chloral
anæsthetics, for there are deaths every year from an over-dose of
them. And we cannot admit that an animal under an anæsthetic, because
it makes a movement, is in pain or is conscious; for we know that a
patient under operation may move yet feel nothing. Every hospital
surgeon, and every anæsthetist, who has seen a whole legion of
patients go under chloroform or ether and come out of it, and
everybody who has been under these anæsthetics, they all know that
incomplete anæsthesia is not "sham anæsthesia," and that movements,
even purposive movements, may occur without consciousness, without
pain, alike in men and in animals.
ONE ANIMAL AND ONE EXPERIMENT
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account