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
“Gurdon Buck, jun., attending surgeon to the New York Hospital, being
sworn, says, that ‘on or about the 26th of December, I advised that
chloroform should be administered to the deceased, for the purpose of
examining the condition of the rectum, the parts being in such a state
of excessive irritation as scarcely to admit of a separation of the
nates. The patient recovered from the effects of the chloroform, and
remained in all respects in the same condition, except the local
ailments spoken of; and he having never complained of either his head or
his chest, and not having suffered from the first administration of
chloroform, I directed it to be administered to him for the purpose of
performing an operation upon the rectum, and the operation of
circumcision to remove a phymosis caused by the chancres: the patient
soon became excited by the chloroform, as is usually the case, but not
beyond a degree that I have often observed. Shortly after, he became
more tranquil: the deceased was placed upon his side, and the operation
performed, which consisted in the removal of two external tumours, and
the tying of one internal tumour.
“‘At this moment my attention was arrested by my assistant’s calling for
a wet cloth: on examining the patient, I found his face and neck of a
livid leaden hue or colour, the eyes turned upward, the pulse
imperceptible at the wrist, and the whole body relaxed; after two or
three gasps, he ceased to breathe. Every means was promptly used to
restore the deceased, but without effect. The chloroform was obtained
from Kent’s, 91, John Street, and not exceeding three drachms was
administered on a napkin. A portion of chloroform from the same phial
had been administered the day before to a patient without any
unfavourable effects. About ten minutes elapsed from the commencement of
its administration before death took place. On making a post-mortem
examination, twenty-four hours after death, I found the face less livid
than before death; on examining the head, the brain and its membranes
presented no other appearances than are seen in persons dying when in
full health; the lungs were a good deal congested, and discharged, when
cut, a large quantity of bloody serum; the heart was large, its
ventricles and auricles were empty, its condition flabby, the substance
of the left ventricle rather softer than natural; about half an ounce of
watery fluid was found in the pericardium; the viscera of the abdomen
were healthy.’”
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