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 16._ In February 1850, a death from chloroform occurred on board
ship at the Mauritius. A report of the case was sent to the Board of
Ordnance, and also to the Admiralty. The secretary of Sir William
Burnett first informed me of the case, and a day or two afterwards I had
an opportunity, through the kindness of the late Marquis of Anglesey, of
reading the report which was sent to him as Master of the Ordnance, and
I made a note of the chief particulars as soon as I got home. As the
report was a very able one, it is to be regretted it has not been
published. The accident occurred to an artilleryman, aged 24, who
required to have the last phalanx of the middle finger removed. In other
respects, he was considered to be in good health. Two scruples of
chloroform were first poured on the handkerchief with which it was
administered, and then one scruple more. It was observed that the face
turned pale, and the pulse and breathing ceased, soon after the
chloroform was discontinued. The measures which were employed to restore
him were of no service. The lungs after death were found to be
emphysematous; and, upon inquiry, it was ascertained that he had been
short of breath on exertion. The right cavities of the heart were filled
with fluid blood. The sinuses of the dura mater contained less blood
than usual, and the brain was pale. The medical man reporting the case
considered that the emphysema was the cause of death, by interfering
with expiration, and thus detaining the vapour; and it must be admitted
that, if the vapour were not sufficiently diluted with air, the
emphysema might increase the danger. I have, however, administered
chloroform in several cases in which emphysema existed to an extreme
degree, without any ill effects; consequently, when the vapour is
properly diluted with air, this affection appears to be no source of
danger.
_Case 17_ was that of a patient of Professor Carl Santesson, in the
Seraphim Hospital at Stockholm. I was indebted to Mr. Paget for my first
information about this case, and to Dr. W. D. Moore, of Dublin, for some
further particulars respecting it.
Public-domain text, read in full here on John Shaqi.
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