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
_Removal of Foreign Bodies and Polypi from the Ear._ In May 1849, Mr.
Henry Charles Johnson extracted a pea from the ear of a child, six years
of age. The pea had been a month in the ear, and Mr. Johnson had
endeavoured to examine the ear without chloroform, but could not do so.
In May 1857, I administered chloroform to a child aged three years, a
patient of Mr. Tuach, whilst Mr. Hewett extracted a glass bead with
sharp edges from the ear. He got it out with a director. I have notes of
four cases in which a polypus was removed from the ear by Mr. Partridge,
Mr. Fergusson, Mr. Henry Lee, and Mr. Henry Smith; and I recollect
giving chloroform more than once at Mr. Toynbee’s whilst he performed a
similar operation, although I have no memoranda of the circumstances.
_The Removal of Polypi and Foreign Bodies from the Nose._ I have
memoranda of fourteen cases in which I have administered chloroform for
the removal of polypi from the nose. The operations were nearly all
performed by Mr. Fergusson. The patient was nearly always seated in an
easy chair, and the chloroform, in several cases, was repeated to keep
up the insensibility till the operation should be completed. In one of
the cases, the polypus caused a protrusion of the nasal bones; the
nostril was slit up, and there was very great hæmorrhage as the polypus
was brought away. The pulse became small for a time, but there was no
syncope. The patient did well. In June 1852, I gave chloroform to a
girl, five years old, and Mr. Fergusson scooped out some polypus growth
from the right nostril, and also an oval softened body, rather bigger
than a horse-bean, which was a young orange that the child had pushed up
her nose in India. The case had given rise to a good deal of difference
of opinion amongst medical men in India and Malta, who generally
discredited the child’s account of the orange. In August 1856, Mr.
Stanley removed a bean from the nose of a child.
_Certain Operations in the Mouth._ I have notes of six operations for
cancer of the tongue, performed by the late Mr. Keate, Mr. Quain, Mr.
Hancock, and Mr. Paget. Mr. Paget’s was a case of epithelial cancer, in
a lady, about twenty-five. The operation was one of excision of the
tumour, and I lately heard that the patient remained free from the
complaint. The other operations were by ligature. Mr. Quain’s was a
hospital patient, and I do not know the ultimate result of the case. The
other patients had a return of the disease, and died after great
suffering.
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