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
_Case 5_ is that of a young woman at Hyderabad, who inhaled chloroform
to undergo amputation of the middle finger. A drachm was sprinkled on a
handkerchief and inhaled. The operator described what occurred as
follows: “She coughed a little, and then gave a few convulsive
movements. When these subsided, I performed the necessary incisions,
which of course did not occupy more than a few seconds. Scarcely a drop
of blood escaped.” The absence of bleeding seemed to be the circumstance
which called the attention of the operator to the state of his patient;
and after describing the means which were used without avail to bring
about recovery, he continues, “I am inclined to think that death was
almost instantaneous; for, after the convulsive movements above
described, she never moved or exhibited the smallest sign of life.”[75]
In this case, it is probable that the breathing and the action of the
heart were both arrested at the same time, by the action of the
chloroform.
_Case 6._ Charles Desnoyers, aged twenty-two, a patient in the
Hôtel-Dieu at Lyons, affected with scrofulous disease of the left wrist,
having to undergo transcurrent cauterisation of the joint, inhaled
chloroform from an apparatus for five minutes, and died at the beginning
of the operation.[76] Further particulars are not given.
_Case 7._ A young gentleman, who had returned from Australia to visit
his relatives in the neighbourhood of Govan, inhaled chloroform for an
intended operation on the great toe, in December 1848. It is stated that
the patient, after inhaling it, almost instantly expired. This account
appeared in the _Glasgow Herald_, and was copied into the medical
journals.[77] I believe that no further account of the case was ever
published.
_Case 8_ occurred on January 19th, 1849. It is related by Dr. John C.
Warren.[78] John Griffith, an Irishman, aged thirty-one, a seaman in the
American navy, was admitted into the New York Hospital early in December
1848, on his return from Mexico. He was suffering with diarrhœa,
chancres, and hæmorrhoids. The following is the account of this
accident.
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