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. Simpson took great trouble, in the early part of 1848, to collect
the account of the amputations of the thigh, leg, and arm, which had
been performed under the influence of ether or chloroform in forty-nine
of the hospitals in Great Britain; and for comparison, he collected from
thirty British hospitals the results of the same amputations, for the
two or three years preceding 1847. He found that the mortality in the
period preceding the use of ether was 29 per cent. in these amputations,
and the return of patients whose limbs had been amputated under the use
of ether and chloroform gave a mortality of 23 per cent.; and he
concluded that 6 per cent. of the lives of those who had undergone these
amputations had been saved by the use of these agents. In his
application for an account of cases, however, Dr. Simpson merely asked
for the number of cases, and the number of deaths. Nothing was said as
to the time when the amputations had been performed; and there is reason
to believe that a number of cases still under treatment may have been
included; some of which may have ended fatally after the returns were
made. The cutting part of a large amputation is of very short duration.
The loss of blood is not great; and patients hardly ever died during the
performance of an amputation, but some time afterwards, of diseases
which ether and chloroform have not been found capable of preventing. It
was therefore not to be expected that these agents should save the lives
of so many as 6 per cent. of those who underwent the larger amputations.
In the early part of 1849, I published an account of fifty-five
amputations of the thigh, leg, and arm, in which I had administered
ether or chloroform, and the mortality was 27 per cent.[141]
Public-domain text, read in full here on John Shaqi.
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