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 chloroform has occasionally to be repeated in tooth-drawing before
the operation is completed, especially in cases where several teeth
require to be extracted. When this is the case, I always reapply it as
soon as the patient begins to show signs of feeling the operation,
without waiting till he recovers his consciousness. In many cases,
however, a number of teeth are extracted without any repetition of the
chloroform; and in the instances in which as many as fifteen, seventeen,
or nineteen teeth were extracted at one operation, it was chiefly
because the first application of the vapour enabled the dentist to take
out such a number, otherwise, in most of these cases, a number of the
teeth would have been left for a succeeding operation. It has
occasionally happened, however, that the chloroform has required to be
repeated, once or twice even, for the extraction of a single stump. When
the chloroform is repeated once or twice, it is generally a longer time
before the patient is able to leave the dentist’s house. I always
request the patients who are operated on at the dentist’s, to drive
home, as it is not advisable to walk, or use any exertion for an hour or
two after the action of chloroform. Indeed, the patient is usually
disinclined for any exertion for twenty minutes or half an hour after
the influence of this agent, and sometimes for much longer; although I
have seen a patient mount the box of a sort of dog-cart, and drive
himself away, within five minutes after having several teeth extracted
whilst he was in a state of complete insensibility from chloroform.
I have administered chloroform in a great number of cases for the
destruction of the nerves of the teeth. The patient requires to be made
as insensible in this operation as in tooth-drawing.
_Secondary Hæmorrhage_ after Operations. The hæmorrhage which
occasionally comes on several days after an operation, from sloughing,
ulceration, or the non-formation of a coagulum in an artery, is probably
as liable to occur now as formerly; but I believe that hæmorrhage, a few
hours after an operation, is much less frequent since the practice of
narcotism by inhalation. Before this practice, it was extremely common
for the patient to faint during an operation, when the bleeding of the
smaller arteries stopped, and they escaped the ligature, to break out in
hæmorrhage occasionally afterwards; but under the influence of narcotic
vapours it is unusual for the patient to faint, and consequently every
vessel which is capable of bleeding is tied during the operation.
CHLOROFORM IN PARTURITION.
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