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 circumstances just mentioned, are probably the cause why so many of
the fatal cases occurred at that period of life when the body is most
robust. Very nearly two-thirds (twenty-seven out of forty-one), of those
cases in which the ages are recorded, occurred in persons of twenty
years and under forty-five years of age, although the proportion of
persons living at this period of life, in England and Wales, is only a
little more than one-third of the entire population. The majority of the
accidents from chloroform occurred also in the stronger sex, in which
muscular rigidity and spasm are most frequent:—twenty-nine of the fatal
cases happened to males, and only twenty-one to females. According to my
experience, the females who inhale chloroform for surgical operations
are nearly twice as numerous as the males; and although this may not be
the proportion in every one’s practice, it is probable that females
inhale this agent quite as frequently as the other sex, in every part of
the world.
_Sitting Posture._ In some of the early cases of death from chloroform,
the patients were inhaling it in the sitting posture, and it was
surmised that this circumstance was the cause of death.[137] An
examination of the account of the fatal cases, however, does not bear
out this supposition. In thirty-one instances the patients were lying,
in nine instances sitting, and there are ten cases in which the position
is not mentioned, and where from the nature of the operation it may have
been either one or the other. In fully one-fourth of the cases of which
I have kept notes of the administration of chloroform, the patients were
seated in an easy chair; and as in forty fatal cases in which the
position is known, only nine, or less than one-fourth, were seated, it
does not appear that the position of the patient has had any share
either in causing or preventing accidents.
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