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 circumstance of the lungs not changing in colour at the moment when
the right ventricle was becoming distended, which was observed in the
cats as well as in the rabbit, shows that the distension arose from the
failure of the contractile power of the heart, and not from impediment
to the pulmonary circulation; for, in the latter case, the lungs would
have become congested, and of a deeper colour. In one of the cats, it
appeared to me that the left, as well as the right ventricle, was
distended with blood; but this distension of the left ventricle did not
continue.
In the Experiments 24 and 25, related above, the animals were first made
insensible by vapour of moderate strength, in order to keep them quiet
for the application of the stethoscope whilst the stronger vapour was
inhaled, but when animals are made to breathe air containing ten per
cent. or so of vapour of chloroform from the first, death takes place in
the same manner, _i. e._ by the direct action of the chloroform on the
heart. Under these circumstances the creatures die suddenly, after a
brief interval of agitation and excitement, without previous
insensibility. This is what has happened in some of the accidents from
chloroform, to be related further on; whilst in many cases death has
happened after a longer or shorter period of insensibility.
In many of the fatal cases of inhalation of chloroform the alarming
symptoms commenced whilst the patient was still inhaling, but in a
considerable number there was no sign of danger until after the
inhalation had been left off; and this is a result which may be imitated
on animals. The two following experiments, which were made at Dr.
Sibson’s on December 27th, 1849, illustrate this point.
Public-domain text, read in full here on John Shaqi.
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