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
especially during the examination of the head, which was made first.
_Case 3._ The next recorded case of death from chloroform is reported by
Dr. John C. Warren, of Boston, U.S., in the _London Medical
Gazette_.[70] His report, apparently extracted from some other report,
is as follows.
“Name—Patrick Coyle. [Age—not stated.] Date—March 1848. Disease—fistula.
Previous use of chloroform—once. Time of inhalation—about one minute.
Quantity consumed—about thirty drops. [Query minims.] Posture—upon the
side. Lapse of time till death—about one minute. Symptoms—showed signs
of pain, by putting his hand to the part; in a moment his pulse, which
was full and natural, sank: death. Morbid appearances—brain, with
membranes, natural and healthy. Heart enlarged, pale, and soft; two or
three ounces of serum in pericardium; bloodvessels with dark fluid
blood. Lungs, studded with tubercles; abscess in each; lower parts
congested; pleura extensively adherent; stomach—mucous membrane
softened, its veins turgid.”
Nothing is said about the apparatus used in this case, but from the
summing-up of Dr. Warren’s paper, it must have been either a towel or a
handkerchief. The quantity of chloroform employed appears to have been
much less than in the two previous cases. In speaking of drops, the
writer probably means minims, or what is the same, a quantity equal to
as many drops of water. Thirty drops of chloroform from a small phial
are only equal to between six and seven minims, and if they were dropped
on a handkerchief, so that they might be counted, they would evaporate
entirely during the process. Supposing the quantity used to have been
what is probably meant—half a fluid drachm—it would be quite adequate,
according to calculations previously made in these pages, to cause the
accident which happened. The period of inhalation was again very
short—one minute; and the evidence of paralysis of the heart is
distinct:—“In a moment his pulse, which was full and natural, sank:
death.”
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