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
I have administered chloroform six times in female children whilst Mr.
Fergusson performed lithotrity. The patients were three in number. I
think the calculus all came away after the first operation, and the
second was only an examination of the bladder. I administered chloroform
also, on one occasion, to a lady whilst Mr. Spencer Wells repeated the
operation of lithotrity.
_Section of the Urethra in the Perinæum._ I have notes of 56 cases of
this operation. A great proportion of them were performed by Mr.
Fergusson, either in King’s College Hospital, or in private practice.
Amongst the other surgeons whom I have assisted in this operation were
the late Messrs. Guthrie, Bransby Cooper, and Avery. In a great number
of the cases, it was impossible to get a catheter into the bladder until
after the incision was made in the perinæum, and many of the operations
were very tedious; several of them lasting above an hour. It is very
desirable to apply the bandages in this operation, as in that of
lithotomy, especially if the assistants are not numerous.
_Other Operations for Stricture, etc._ I have notes of four operations
in which the stricture was divided internally by a urethratome; and of
two operations in which the orifice of the urethra was enlarged; and of
nine plastic operations to restore deficiencies of the walls of the
urethra, congenital or otherwise. I have memoranda of 66 cases in which
I have administered chloroform for sounding the bladder or the
introduction of a catheter. In catheterism under chloroform the patient,
of course, lies on his back, which is indeed the position in which he
ought to be during this operation, when chloroform is not administered.
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