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
Air, when saturated only at 60° Fah., contains 12 per cent. of vapour of
chloroform, and at 70° 19 per cent. (p. 33); and 8 or 10 per cent. in
the inspired air is capable, as we have seen, of causing sudden death by
paralysing the heart; but in practice the air is usually far from being
saturated, in passing over a handkerchief or similar material, even at
the temperature at which it is inhaled; and this is generally lowered
considerably by the absorption of caloric by the chloroform, as it
changes its condition from a liquid to a vapour. Moreover, air strongly
charged with vapour of chloroform is not easy to breathe, owing to its
pungency; and the physiological knowledge and close attention of every
medical man who administers this medicine causes him to withdraw it
immediately on the least appearance of danger.
_Case 1._ The first death from chloroform was that of Hannah Greener,
which occurred at Winlaton, near Newcastle, on the 28th of January,
1848. The patient was a girl of 15, who required to have the nail of the
great toe removed. A similar operation had been performed on the other
foot, in the previous November, in the Newcastle Infirmary, when ether
was administered with a satisfactory result. The following is the
account of the accident by Dr. Meggison, who administered the
chloroform: “She appeared to dread the operation, and fretted a good
deal: in fact, she commenced sobbing on our entering the house, and
continued so until seated in the operating chair, and commencing the
inhalation, which was done from a handkerchief on which a teaspoonful of
chloroform had been poured. After drawing her breath twice, she pulled
my hand from her mouth. I told her to put her hands on her knees, and
breathe quietly, which she did. In about half a minute, seeing no change
in breathing, or alteration of pulse, I lifted her arm, which I found
rigid. I looked at the pupil and pinched her cheek, and, finding her
insensible, requested Mr. Lloyd to begin the operation. At the
termination of the semilunar incision she gave a kick or twitch, which
caused me to think the chloroform had not sufficient effect. I was
proceeding to apply more to the handkerchief, when her lips, which had
been previously of a good colour, became suddenly blanched, and she
spluttered at the mouth, as if in epilepsy. I threw down the
handkerchief, dashed cold water in her face, and gave her some
internally, followed by brandy, without, however, the least effect, not
the slightest attempt at a rally being made. We laid her on the floor,
opened a vein in her arm, and the jugular vein, but no blood flowed. The
whole process of inhalation, operation, venesection, and death, could
not, I should say, have occupied more than two minutes.”[65]
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