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 blood remained fluid in eighteen out of twenty-five cases of fatal
accident from chloroform, in which an examination of the body was made
and the condition of the blood recorded; whereas it was only quite fluid
in one instance out of eighteen of the animals which were killed by
chloroform, and not opened till a day or two afterwards. The fact of the
blood coagulating more generally, in the animals on which I have
experimented, than in the human subjects who died from chloroform, is
probably due to their smaller size. I was formerly of opinion that the
fact of the body of a small animal cooling more quickly than the human
one was the probable explanation of this, but Dr. Richardson appears to
have proved that the blood is kept in a liquid state by the presence of
ammonia; and ammonia, we might expect, would escape more readily from
the body of a small animal than from the human body. However this may
be, it is pretty certain that the blood generally remains fluid in the
human body after death from chloroform, only because it usually remains
fluid in every kind of sudden death. When a patient dies slowly of
illness, the body cools gradually before death takes place, and ammonia
keeps exhaling in the breath, if Dr. Richardson is correct, whilst the
formation of this alkali must be almost suspended. In many cases, we
know that coagulation of the blood commences before the respiration and
circulation have ceased. The blood which flows during surgical
operations coagulates as quickly and firmly when the patient is under
the influence of chloroform as at other times; and, as was mentioned
above, the blood which flows from animals, just after they are killed by
this agent, coagulates as well as usual; it follows, therefore, that if
the coagulation of the blood were prevented by the chloroform, and not
by the mere fact of sudden death, it would be by the presence of this
agent in the blood after death, and not by any action which it exerted
during the life of the patient.
FURTHER REMARKS ON THE PREVENTION OF ACCIDENTS FROM CHLOROFORM.
In consequence of the prevailing opinion that accidents from chloroform
depended chiefly on the condition of the patient, the main endeavours to
prevent a fatal result have taken the direction of a careful selection
of the persons who were to inhale this agent. It may be doubted,
however, whether this line of practice has had so much effect in
limiting the number of accidents, as in curtailing the benefits to be
derived from the discovery of preventing pain by inhalation. In nearly
all the recorded cases of accident from chloroform, it is stated that
the patients had been carefully examined, and such proofs of disease as
were met with after death were chiefly those which had not been
detected; and, as already has been stated, were probably not greater on
an average than in the cases in which no accident happened.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account