CHLOROFORM is a colorless, heavy, volatile liquid; having a fruity
ethereal odor and a sweet pungent taste. It is formed by the union of
chlorine and marsh gas, but more commonly by the action of bleaching
powder on ethylic or methylic alcohol. It is readily soluble in alcohol,
but very sparingly so in water. Chloroform is a good solvent of
caoutchouc, gutta-percha, camphor, wax, resin, some of the alkaloids,
&c.
The _symptoms_ produced by the vapor of chloroform may be divided into
three groups of varying intensity; briefly they are these: First, a
degree of relief from pain, the senses being but slightly affected;
second, a stage of excitement and incoherence, wherein the patient is
prone to struggle; and thirdly, a stage of which the most marked
features are complete insensibility and narcotism, with relaxation of
the muscular system. At first the patient is conscious of all that is
passing around him, but there is dizziness and singing in the ears. Then
the mental functions are impaired, there is often excitement, the saliva
is increased, the patient pushes away the inhaler, rigidity and spasms
of the muscles may occur, and there is incoherent talk. In the next
stage there is insensibility to pain, and the conjunctiva may be touched
without causing flinching. If the use of this anæsthetic be pushed
further the breathing becomes stertorous, the muscles quite relaxed, and
the pupils dilated; while a still further increase of the chloroform
embarrasses and then stops the breathing and arrests the heart’s action.
Many cases of death from the vapor of chloroform have occurred, the
fatal effect sometimes happening very rapidly from shock, syncope, or
convulsions. The vapor of only thirty drops has destroyed life in one
minute. Death under the influence of chloroform must not be confounded
with death from its effects. The smallest fatal dose when the drug has
been swallowed is one drachm in a boy aged four.
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