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
Dr. Aschendorf has attributed the death of a child a year old to
chloroform.[129] The child had a nævus on the face and neck, which
extended from the zygoma to the os hyoides, and from the external
auditory meatus to the maxillary fossa. No one had been willing to
undertake its removal. Dr. Aschendorf operated on the nævus at three
different times, by means of seton threads. These operations were
performed under the influence of chloroform. The tumour was reduced
one-third part in size by these means, and eleven weeks afterwards Dr.
Aschendorf determined to extirpate it. The chloroform was administered
as on the former occasions, by placing six drops on some tow in a cup.
In about ten minutes, as the child cried a little, three drops more of
chloroform were used for inhalation, and in about eight minutes more the
operation was concluded. “On raising the child it laid its head on one
side, convulsive twitches of the face were observed, with distortion of
the eyeballs and dilatation of the pupils. For one moment the arms were
stretched out stiff, then again they were relaxed, and fell as supple as
the rest of the body. Death quickly followed—only one pulsation of the
heart and a single râle with the expiration being perceived.”
There can be no doubt of this being a case of death from hæmorrhage,
after the direct effects of the chloroform had subsided. Dr. Aschendorf
says the quantity of blood lost was about two tablespoonfuls; but it
would be necessarily removed by sponges during the operation, and there
would be no means of estimating the quantity. The child was probably in
a state of syncope during the latter part of the operation, as it would
not remain insensible to the knife for eight minutes from a single
application of chloroform.
Public-domain text, read in full here on John Shaqi.
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