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 had been long aware that chloroform was capable of paralysing the
heart in animals; and, indeed, that sulphuric ether would do so when it
could reach the heart in sufficient quantity;[62] and soon after Dr.
Sibson’s remarks I was able to ascertain and point out the strength of
the vapour which will produce this effect, and how one may avoid the
risk of it, by having the vapour sufficiently diluted.[63] The greater
number of experimenters who have killed animals with chloroform have
found that the action of the heart continued after the breathing ceased;
but they did not either control or ascertain the proportion which the
vapours of chloroform bore to the inspired air. In Mr. Thomas Wakley’s
experiments the action of the heart continued after the breathing had
ceased; and this was the case in a great number of experiments performed
by a Commission which reported to the Society of Emulation of Paris, in
1855.[64]
This Commission came to the conclusion that, in all instances in which
animals are killed by chloroform, the action of the heart survives the
respiration; but they might have administered chloroform to an equal
number of human patients without any one of them being cut off by sudden
paralysis of the heart. If animals were usually to die suddenly of
paralysis of the heart, when the chloroform is given in a manner similar
to what may be called its ordinary administration to patients, we should
be at a loss to know how this agent could be used at all. It is only
reasonable to suppose that, in experiments so conducted, that mode of
death should usually be met with which would occur to the human subject,
if the chloroform were continued, in the disregard of dangerous
symptoms, till death should ensue. I have, indeed, been informed of
several instances in which animals died in a sudden, and what was
thought an unaccountable manner, whilst chloroform was given to prevent
the pain and struggles which would be occasioned by physiological
experiments. In these cases there is no doubt the heart was paralysed;
but the experimenters were often too intent on other matters to observe
the circumstance. By a proper arrangement of circumstances, however, one
may produce at will the event in animals which occurs, in fact, so very
rarely to a patient, although it may at any time happen if great
caution, guided also by right principle, is not used.
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