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 45._ On September 8th, 1855, a lady, aged twenty-nine, the wife of
a physician, died suddenly whilst inhaling chloroform for the relief of
facial neuralgia. I was sent for when the accident happened, and arrived
twenty minutes afterwards. I found the deceased lady without any sign of
life. The face and lips were very pallid. The husband was performing
artificial respiration by mouth to mouth inflation of the lungs, and
alternate pressure on the chest, and I assisted him in this for a long
time, though with no hope that any thing could be of service. Dr.
Barker, of Grosvenor Street, arrived soon after me, and assisted in the
same measures. An inhaler was employed in this case consisting of a
face-piece, like the one above delineated in this work, and a bent metal
tube lined with bibulous paper. Two quantities of ten minims each had
been inhaled, with some relief to the pain, and without causing
unconsciousness when the inhaler and the chloroform were put away in a
closet; but the patient begged to have more chloroform, in order to be
completely relieved of the pain, as she had been on a previous day. Ten
minims more chloroform, as I was informed, were put into the inhaler,
and the patient, being seated on a sofa, began to inhale very eagerly,
but had no sooner commenced than she gave a sudden start, as if taken in
some kind of fit. Her husband laid her on the floor, but she evinced no
further signs of life.
There was no inspection of the body.
The only explanation which the case admits of is that, in her eagerness
to get relief, the patient took one or more inspirations of air very
highly charged with vapour. The symptoms were those of death by cardiac
syncope.
_Case 46_ occurred in the practice of Dr. Roberts, a surgeon dentist of
Edinburgh. The patient was a lady, thirty-six years of age, to whom Dr.
Roberts had administered chloroform on four previous occasions within a
twelve-month. Dr. Roberts says the chloroform was administered in the
usual way, by which he means on a handkerchief. He says: “Mrs. H. had
only taken about nine or ten inspirations, obtaining but a partial
influence of a quantity short of ʒiss poured out from the bottle, and
inhaling it for a space of time certainly less than a minute, when she
said, ‘You must not operate until I am quite insensible;’ and again, ‘I
am not over yet;’ and immediately, even while speaking, she gave a
convulsive start, and with a stertorous inspiration, and with the eyes
and mouth open, sunk to the floor.” Dr. Simpson was sent for, and
arrived within five minutes. Artificial respiration was resorted to, and
after it had been applied for a time, there were a few spontaneous
inspirations, and the pulse, it is said, could be perceived at the
wrist; but these symptoms of reviving animation disappeared.
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