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
From the lips becoming suddenly blanched in the above case, there is
every reason to conclude that the heart was suddenly paralysed. The
patient breathed for a little time after this, and was able to swallow,
though with difficulty. The process of inhalation occupied only a little
more than half a minute in Dr. Meggison’s estimation; yet he appeared to
think that the fluid drachm of chloroform which he had put on the
handkerchief had evaporated; for he was about to apply more when the
alarming symptoms appeared. But supposing only one-third of the drachm
was actually inhaled into the lungs in the half minute, the vapour would
necessarily be in a highly concentrated state—probably twenty cubic
inches of vapour in 200 cubic inches of air, which would be adequate to
occasion the result which happened. In the short space of about half a
minute, the blood could not be uniformly impregnated with the vapour;
only a portion of it could pass through the lungs in the time; yet, as
the patient was rendered insensible, this portion must necessarily have
been highly charged with vapour.
It was often the practice to render the patient insensible in as short a
time as half a minute, when chloroform was first introduced, but I
believe never without danger; and I had expressed the opinion before any
accident happened, that, for reasons such as I have stated above, a
patient should on no account be rendered insensible in less than two
minutes.[68]
_Case 2._ The next recorded case in which the inhalation of chloroform
was fatal, occurred at Cincinnati, on the 23rd of February, 1848. The
subject of it, Mrs. Martha G. Simmons, was thirty-five years of age, and
enjoyed good general health; she was the mother of six children, and her
last confinement occurred eight weeks before her death. The patient
exhibited no alarm on account of inhaling the chloroform, which was
administered by two dentists, who were not members of the medical
profession. It was breathed from an inhaler which Dr. Morton of Boston
contrived for sulphuric ether. This inhaler consisted of a glass globe
four inches and a half in diameter, and contained a sponge about
one-third filling the globe, and saturated with chloroform.
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