On chloroform and other anæsthetics: their action and administrationSnow, John
History
On chloroform and other anæsthetics: their action and administration
Snow, John
Anesthetics; Chloroform; Snow, John, 1813-1858
The connection with the “Westminster Medical” led to Mr. Snow’s first
attempts at authorship. On October the 16th, 1841, he read at the
Society a paper on “Asphyxia and on the Resuscitation of new-born
Children.” The paper in full will be found in the _London Medical
Gazette_ for November the 5th of the same year. The paper is remarkable
for the soundness of its reasonings, and the advanced knowledge which it
displays. The object of the paper was to introduce to the Society a
double air-pump, for supporting artificial respiration, invented by a
Mr. Read, of Regent Circus. The instrument was so devised that by one
action of the piston, the air in the lungs could be drawn into one of
the cylinders, and by the reverse action, the said air could be driven
away, and the lungs supplied with a stream of pure air from the second
cylinder. There was also advanced, in the concluding part of the
communication, a sentence or two on the cause of the first inspiration,
which is well worthy of note. The cause of the first inspiration, he
explained, is probably the same as the second or the last, viz., a
sensation or impression arising from a want of oxygen in the system. So
long as the placenta performs its functions, the fœtus is perfectly at
ease, and feels no need of respiration; but whenever this communication
between the child and its mother is interrupted, at least in the later
months of pregnancy, the child makes convulsive efforts at respiration
similar to those made by a drowning animal.
On December the 18th, 1841, Mr. Snow was again before the “Westminster
Medical” with a very ingenious instrument which he had invented for
performing the operation of paracentesis of the thorax. The description
of the instrument will be found in the _Medical Gazette_ of January
28th, 1842.
In the _Medical Gazette_ for November 11th, 1842, Mr. Snow published a
note on a new mode for securing the removal of the placenta in cases of
retention with hæmorrhage; and in the same journal for March 3rd, 1843,
he communicated an essay on the circulation in the capillary vessels.
The essay was selected and rearranged from papers read before the
“Westminster Medical” on January 21 and February the 4th. We have in
this essay an admirable sketch of the capillary circulation. He
advanced, on this occasion, the idea that the force of the heart is not
alone sufficient to carry on the circulation, but that there is a force
generated in the capillary system which assists the motion. He explained
also the great importance of the cutaneous exhalation, and reasoned that
in febrile states, accompanied with hot skin, the transpiration from the
skin is in reality greater than is normal, and that the good effect of
poultices and similar applications to inflamed skin is due to their
influence in checking the transpiration from the affected part.
Public-domain text, read in full here on John Shaqi.
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