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
The foregoing cases comprise all the instances I have seen recorded in
which death appears to have been occasioned by the administration of
chloroform, and not by other causes in operation about the same time. A
few additional cases have indeed been referred to by different authors
where death was probably caused by chloroform, but as I do not find that
the details have been published, I cannot make them available in an
inquiry respecting the cause and prevention of these accidents.
In June 1852, Dr. Simpson alluded in the following terms to an accident
from chloroform which had occurred near Glasgow:—“In this instance,
chloroform was given by the practitioner for tooth extraction; but, I am
sorry to add, none of the parties present were at the time in a
condition to give any satisfactory evidence.”[125]
A person, named Breton, a dealer in porcelain, died in Paris, in the
early part of 1853, immediately after a few inspirations of chloroform,
which was administered with the intention of removing a tumour of the
cheek. An action was brought against Dr. Triquet and M. Masson for
causing death by imprudence in this case; and at the trial which ensued,
various interesting opinions were given, and the accused practitioners
were ultimately exonerated.[126] I have not, however, met with any
record of the symptoms which occurred in the case.
In relating the case of death from chloroform, which occurred in his
practice, to the Medical and Chirurgical Society of Edinburgh, Dr.
Roberts referred to another death from chloroform in tooth-drawing which
took place in the neighbourhood from which his own patient came, just
previously to October 1855; but I have not met with any account of the
case so alluded to. Dr. Mackenzie of Kelso also alluded in the same
Society, in the following year, to a death from chloroform which had
occurred at Coldstream, and I do not know whether this was the case to
which Dr. Roberts had alluded, or a fresh one.
One of the surgeons to the hospital at St. Louis, who was lately
visiting the medical institutions of London, informed me that there had
been three deaths from chloroform at his hospital out of between six and
seven hundred operations in which it had been administered. I did not
learn the particulars of those fatal cases.
There have been several cases in which persons have been found dead
after inhaling chloroform when no one else was present, either for
toothache or some other affection, but I have not included such cases in
the above list, as they throw no light on the way in which death is
occasioned. The simple way to avoid such accidents as those just alluded
to, is for persons to abstain from inhaling chloroform, when no one is
by to watch its effects.
ALLEGED FATAL CASES OF INHALATION OF CHLOROFORM.
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