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
I have observed the manner in which the breathing and circulation ceased
in a great number of instances, with the stethoscope applied to the
chest of the animal, when the quantity of chloroform contained in the
air it breathed was known, and have notes of the result. The animals
were chiefly cats, which would otherwise have been killed by prussic
acid, or in some other way. In every instance in which the quantity of
vapour in the air breathed by the animals was from three to six per
cent., the respiration ceased whilst the sounds of the heart were still
very distinct, as in Experiment 23, related above; in many instances the
heart continued to beat from two to three minutes after the breathing
had ceased, and, in a great number of instances, there were one or more
gasping inspirations just at the moment when the sounds of the heart
ceased. In many cases these gasping inspirations caused the action of
the heart to return, as in Experiment 23, if the animal had been
withdrawn from the chloroform; but this was not always the case; and if
the chloroform was still breathed during these gasping efforts, all
signs of life immediately ceased in every instance.
When, on the other hand, the air breathed by the animals contained eight
or ten per cent., or upwards, of vapour of chloroform, the action of the
heart was always seriously affected and rendered extremely feeble, if it
did not actually cease, at the time the breathing was arrested. In
several instances, indeed, the sounds of the heart entirely ceased
before the breathing, as in Experiment 25; and although the chloroform
was withdrawn, in this and many other experiments, the moment the heart
ceased to beat, and fresh air was drawn in by inspiratory efforts, it
very rarely had the effect of restoring the heart’s action, although
this happened so frequently when that organ had gradually ceased to act
on account of suspension of the breathing, by the effect of more diluted
vapour.
In order to see more precisely the action of the vapour of chloroform on
the heart, when not sufficiently diluted, the chest and pericardium were
opened on four occasions, in cats and a rabbit, and chloroform was
exhibited by artificial respiration. I was assisted by Mr. Peter
Marshall in these experiments, and the following is the account of one
of them.[60]
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