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 27_ took place at Melbourne, Australia. The name of the patient
was Mr. John Atkinson, but his age is not stated. Dr. Thomas, who was
about to operate for fistula _in ano_, said: “Before administering the
chloroform, I asked the deceased particularly if he had ever suffered
from any serious illness, to which he replied in the negative. I also
inquired whether he had been subject to cough or palpitation, and he
answered that, some time ago, he had suffered slightly from cough. The
pulse was good, and Mr. Barker proceeded in the usual manner to
administer the chloroform, which shortly produced convulsive twitchings
of the muscles. I then went to the door to request the nurse to send up
some person to assist in holding the patient in a proper position for
the operation, and I returned to the bed, and poured a little more
chloroform on the handkerchief; when it was applied to the face, I heard
him splutter at the mouth; the chloroform was instantly discontinued,
but the patient suddenly expired. We tried all the means usually
resorted to in other cases of suspended animation, but without effect. I
had frequently used the same chloroform in other cases. It was not more
than a minute after the first application of chloroform that death
occurred. About a drachm had been poured on the handkerchief.”
At the examination after death, “there was considerable serous effusion
into the pericardium, and the heart itself was larger and more flabby
than usual. It was hypertrophied, and there was dilatation of the
cavities; the lungs were healthy, and there was a slight appearance of
disease about the liver, such as is observed in persons addicted to
intemperance.”[96]
_Case 28._ On August 10th, 1852, a Mr. Martin, a cattle dealer died near
Melrose, in Scotland, after inhaling chloroform for the application of
potassa fusa to some ulcers of the leg. Dr. W. M. Brown, who relates the
case, says:—“Before proceeding to apply the caustic I gave him
chloroform. He was not easily affected by it, and struggled a good deal.
After beginning to apply the caustic I found he was not sufficiently
insensible to pain, and gave him a little more chloroform, which had the
desired effect. I then proceeded with the application of the caustic,
and was just finishing, when I observed a sort of catch in his
breathing. I immediately stopped, and, on looking at him, I saw the
mouth and eyes open, the breathing irregular, the face pale, the eyes
slightly turned upwards, and the pupils dilated.” Dr. Brown tried
artificial respiration and other means to resuscitate the patient, but
without effect. He says, “in a few minutes the man died.” The pulse is
not mentioned, nor the age of the patient.[97]
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