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 effect of chloroform cannot fail to be favourable, to a certain
extent, in large operations. The patient is in a more tranquil and
cheerful condition after the operation, than he would be in if he had
suffered the pain of it. His pulse is usually of the natural frequency;
and after an amputation, there is generally an entire absence of the
starting of the stump, which was formerly so distressing. After all the
minor operations in which chloroform is used, and which according to my
experience comprise at least one-half of the cases, there is never a
death; and the only inconvenience is a troublesome sickness of stomach
in a very few instances. Moreover, when patients die after the more
formidable operations, they succumb to causes which are well known, and
were in operation before the practice of anæsthesia. I only know of a
very few instances where there has been a reasonable doubt on the mind
of the surgeon, whether the chloroform may not have had some share in
preventing the recovery of the patient, after a severe operation. These
were cases in which the sickness, which occasionally follows chloroform,
continued for three or four days, indeed till the death of the patient.
This is a point which it would be difficult to decide, for the latter
part of the sickness might depend on the sinking state of the patient,
and might have come on if chloroform had not been used. Moreover, as
sickness is seldom very prolonged after chloroform in minor operations,
except in persons who are not in a good state of health, it is most
probable, that the patients who died after a great operation with
continued sickness, would not have done well if no chloroform had been
used.
Some attempts have been made to determine, by statistical inquiry,
whether the result of operations has been more favourable since the
introduction of anæsthesia. These attempts have been confined to the
larger amputations, as they are the only operations which sufficiently
resemble each other to admit of the application of statistical inquiry;
and even in the case of these operations, the inquiries which had been
made previously to the introduction of etherization differed widely in
their results.
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