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
The report on this case gave rise to frequent discussions in the
Academy, extending over several months, and the Academy ultimately
confirmed the above conclusions, but not without considerable opposition
from M. Blandin, M. Jules Guérin, and other members.
M. Malgaigne, the reporter to the commission, and others, who strongly
supported the first of the above propositions, founded their argument
chiefly on the assertion that chloroform always produces intoxication
and insensibility before death; but this is incorrect, as I have
explained above; and I took occasion to make the following remarks on
this point about the time when the discussion in the Academy of Medicine
took place. I said: “I have several times made animals—small birds, mice
and rabbits—breathe air saturated with vapour of chloroform at the
temperature of the atmosphere, and the consequence has always been that,
after attempting for a few seconds to escape from the capacious jar in
which they were enclosed, they suddenly exhibited signs of distress, and
died without any interval of intoxication or insensibility, in periods
varying from less than half a minute to a minute after their first
exposure to the vapour.”[73]
The power of chloroform to cause sudden death without previous
insensibility is now, I believe, generally admitted. The French call
this kind of fatal action _sideration_.
With regard to the second conclusion of the commission, if it had been
really true that the surgeon put only fifteen to twenty _drops_ at the
most of chloroform on the handkerchief, one would have been inclined to
admit it; but with the quantity actually employed, and the strong
sensation of choking it occasioned just before death, one must, in
connection with other cases, and with what is known of the action of
chloroform, attribute the fatal event to this agent, rather than to the
surgical operation, which was not of a serious nature.
Public-domain text, read in full here on John Shaqi.
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