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 in a great variety of surgical
operations, in addition to those mentioned above, but as they required
only the usual management in the application of the vapour, I need not
allude to them, but shall, however, make a few remarks regarding dental
operations.
_Extraction of Teeth._ It is the custom in the medical journals and
medical societies, to object occasionally to the use of chloroform in
tooth-drawing, as if the operation were not sufficiently severe to
require it. I will say nothing of the wives and daughters of medical men
in connexion with this subject, but will only allude to the case of an
elderly lady, who had for thirty years been the private friend, as well
as the patient, of one of the Council of the College of Surgeons. After
she had had ten necrosed teeth extracted, and had awakened from the
effects of the chloroform, her friend and surgeon, who had been looking
on, discoursed eloquently on her case, explaining how the state of her
mouth was ruining her health; how impossible it would have been for her
to go through the operation without chloroform, and what a great
advantage it was.
Dr. Watson says in his Lectures:[148] “I am not at all sure that the
increased longevity of modern generations is not, in some degree,
attributable to the capability of chewing their food which the skill of
the dentist prolongs to persons far advanced in life.” I have seen at
least fifty cases in which the dentist has been able to exert his skill
in enabling his patient to masticate only by the aid of chloroform;
cases of feeble, aged, or debilitated persons, whose mouths contained
between twenty and thirty stumps of teeth or necrosed teeth; and who
were able to get rid of them all at two or three operations a few days
apart; but without the opportunity of being made insensible, would
undoubtedly have continued with the mouth in a tender and painful state.
It was in consequence of the relief afforded by nitrous oxide gas, in
pain caused by a tooth, that Sir Humphrey Davy suggested its application
in surgical operations; it was for the extraction of a tooth that Mr.
Horace Wells first carried out the suggestion of Davy; and it was in the
extraction of teeth that Dr. Morton first employed sulphuric ether as a
substitute for nitrous oxide gas. These circumstances seem to point to a
demand for anæsthetics in operations on the teeth; and when the great
frequency of these operations is considered, it is probable that more
pain may be prevented during their performance than in any other class
of operations.
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