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 38._ A death from chloroform occurred in the Hôpital St. Antoine,
at Paris, in the spring of 1854. The subject of this was a woman aged
forty, on whom M. Richard was operating for the removal of a uterine
polypus. The surgeon placed the patient in the horizontal posture, and
administered the chloroform on a compress of lint. She became insensible
in two minutes, having first been excited so that it was necessary to
hold her. M. Richard moved the patient to the edge of the bed, gave the
compress containing the chloroform into the hands of an assistant, and
commenced the operation, which was likely to be of short duration. He
had almost completed it, when he was apprised by an assistant, who had
been set to feel the pulse, that it had ceased to beat. He sought for it
himself, but found that it did not beat. The face was extremely pale; a
slow respiration still continued, but soon ceased; and the measures
which were used with the hope of restoring the patient were of no
avail.[109]
At the examination of the body all the organs were found in a healthy
state. The right cavities of the heart and the great veins contained a
considerable quantity of blood, and the left cavities of the heart a
small quantity. The blood was everywhere fluid.[110]
_Case 39._ A patient, named Mrs. Harrup, died at Sheffield from the
effects of chloroform administered with the intention of removing a
cancerous tumour of the left breast. The age of the patient was
forty-five, and she was stated to be in good health, excepting the local
affection.
“The chloroform was administered with more than the usual precautions.
After the inhalation had gone on without any effect for twenty minutes,
it was thought that possibly different chloroform might succeed, and one
ounce was accordingly procured from the public dispensary. After the
inhalation had been conducted with the fresh chloroform about twenty
minutes, the usual effects of the vapour began to manifest themselves.
The pulse, which was 136 before any chloroform had been given, and had
been very gradually decreasing in frequency while it improved in
strength, was now about 104. At this moment muttering—half articulate
delirium—came on, but ceased in a few moments, and was immediately
followed by conclusive signs of the satisfactory action of the
chloroform. Dr. Law now desired Mr. Wright to begin the operation; but
before he could do so, Dr. Law, seeing an alarming change in the
countenance of the deceased, cried, ‘Stop, Mr. Lewis, how is the pulse?’
I replied, ‘It is gone.’” After stating the means which were used with a
view to resuscitate the patient, it is added that the heart had ceased
to beat, and that, after a few short and laboured inspirations, life
became extinct.
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