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
_Apparatus employed._ Accidents were at one time, and in one quarter,
attributed to the use of inhalers; and it is curious that this
allegation was made at a time when no death from chloroform had yet
occurred in any cases in which an inhaler was used, except one in
America, and one in France, the accounts of which had not reached this
country. It is possible that death might be occasioned by want of air
from the use of a faulty inhaler, and a case will be mentioned in which
this apparently occurred in the administration of sulphuric ether, but
there is no recorded case of accident from chloroform in which death was
occasioned in this way. In the cases of death previously recorded, a
handkerchief, a piece of folded lint, hollow sponge, or some such simple
contrivance, was used in thirty-four instances; in twelve cases, an
inhaler of some kind or other was used; and in four cases, it is
uncertain what were the means employed.
_Alleged Exclusion of Air._ The assertion has often been made that death
might be caused by the vapour of chloroform excluding the air, and so
causing asphyxia; but it has already been pointed out in this work that
the physical properties of chloroform do not allow it to yield a
quantity of vapour which would have that effect, and in much smaller
quantity than this the vapour kills by a quicker way than asphyxia, I
believe that the only elastic fluids which can cause death simply by
excluding the atmospheric air are nitrogen and hydrogen.
_Alleged Closure of the Glottis._ At the trial which took place in Paris
respecting the death of a porcelain dealer previously mentioned, M.
Devergie gave evidence, and after saying that chloroform might cause
death as a poison, if given in undue proportion, he added: “Also it
closes the glottis, and offers an obstacle to respiration. Employed by
M. Demarquay on himself, in very small doses, closure of the glottis was
occasioned. It was possible that Le Sieur Breton had experienced that
accident, and in that case the most able surgeon could not prevent
death.”
I have not met with M. Demarquay’s account of his experiment, but I am
happy to know that he did not die of the closure of the glottis. It may
fairly be denied that a person could commit suicide in this manner if he
wished, for he would either have to give up the attempt, or receive the
vapour into his lungs, and experience its specific effects. When animals
are placed in mixtures of vapour and air, they always breathe them,
whatever the strength; and if the vapour amounts to eight or ten per
cent., they die much more quickly than they would of mere closure of the
glottis. Vapour of chloroform, when not largely diluted with air, is apt
to cause cough and closure of the glottis, as soon as a little of it
reaches the lungs; but this, so far from being a source of danger, is,
as a general rule, a safeguard, by its preventing the patient from
readily breathing air which is highly charged with vapour.
Public-domain text, read in full here on John Shaqi.
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