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
Two female friends of the patient reported the following as the events
which occurred. “The respiratory movements appeared to be free; chest
heaving. While inhaling, the face became pale. At the expiration of
about one minute, the instruments were applied, and four roots of teeth
extracted. The patient groaned and manifested what they regarded as
evidences of pain, while the teeth were being extracted, although she
did not speak or exhibit any other sign of consciousness. As the last
root came out, which was about two minutes from the beginning of the
inhalation, the patient’s head turned to one side, the arms became
slightly rigid, and the body drawn somewhat backwards, with a tendency
to slide out of the operating chair. At this instant, Mrs. Pearson
states that she placed her finger upon the patients pulse; observed that
it was feeble, and immediately ceased to beat; respiration also ceased
about the same time. The face, which was previously pale, now became
livid, as did also the finger nails; and the lower jaw dropped, and the
tongue projected a little at one corner of the mouth, and the arms were
perfectly relaxed. The females regarded her as being then quite
dead.”[69]
The dentists gave nearly the same account, saying that the breathing was
at first slow, and that the patient inhaled twelve or fifteen times,
occupying from a minute to seventy-five seconds. They committed the
great error of not placing the patient at once in the horizontal
position, when the alarming symptoms came on, but kept her sitting in
the chair, from five to ten minutes, whilst they sent out for
restoratives. They thought the patient was living during this time, but
her female friends thought not. The patient was placed on a sofa, and
sometime afterwards artificial respiration and galvanism were applied
without effect.
Public-domain text, read in full here on John Shaqi.
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